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Click ‘Get Form’ to open the Baltimore City Jury Duty Questionnaire in the editor.
Begin by entering the Patient’s Name and Juror ID# in the designated fields. Ensure that all information is legible.
Fill in the Date of Jury Summons, Juror’s Age, and Current Occupation accurately.
In Section 1, describe the medical condition(s) under which the patient is receiving care. Be clear and concise.
Section 2 requires an explanation of how this condition prevents the individual from serving on a jury. Provide detailed reasoning.
For Section 3, suggest reasonable accommodations that could assist the juror in fulfilling their duty, such as frequent breaks or seating arrangements.
Indicate when the individual will be able to serve as a juror in Section 4.
Ensure that a licensed physician completes their name, phone number, office address, and signature at the bottom of the form.

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Is the juror questionnaire mandatory?

Failure to return the questionnaire will cause you to be summoned to court. Failure to respond to the summons may lead to your arrest and imposition of a fine or costs.

How to be excused from jury duty in Baltimore City?

If I have a legitimate reason why I cannot serve on my assigned day for jury service or if I have a health issue, what should I do? Call the Jury Commissioner at (410) 333-3775, explain your situation or have a medical provider complete a medical form for excusal.

What questions are on a jury duty questionnaire?

Juror Personal History Section of Questionnaire Have you, a family member, or close friend ever been in a serious traffic accident? Have you ever been a victim, witness, plaintiff or defendant in a criminal or civil suit? Have you ever been convicted of a misdemeanor other than traffic violations?

What if I dont fill out my jury questionnaire?

Failure to complete and return a jury questionnaire, providing false information on the questionnaire, or using or profane language in response to a jury questionnaire subjects a citizen to show cause proceeding for contempt of court.

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