Baltimore city jury duty questionnaire 2026

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

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