Juror Qualification Form

Completing the Juror Qualification Form

There are two ways to complete the form:

  1. Online at http://mdcourts.gov/juryservice OR

  2. By hand and return by mail (please remember to sign the form before mailing) to the:
  3. Jury Commissioner
    Montgomery County Circuit Court
    50 Maryland Avenue, North Tower, Room 2100
    Rockville, MD 20850

Jury Qualification form

See an example of a completed Juror Questionnaire (PDF)

 

Understanding the Qualification Form and Summons

  • Please complete the form in its entirety and return within 10 days of receipt to avoid penalties.
  • Read BOTH sides of the summons before completing the Form.
  • When mailing your completed questionnaire, please retain the bottom portion of the summons, which contains your reporting instructions.
  • Follow the codes located at the bottom portion of the summons to provide necessary documentation if applicable.


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Selection Criteria
 

A person who is 70 years of age or older may be excused upon request. Check "Yes" in box 20a or 20b on the Juror Qualification Form and return it to the Jury Commissioner in advance of your service date.

 

Explanations of these and additional selection criteria for Jury Service can be found in the Maryland Code, Courts & Judicial Proceedings, Title 8 (Juries and Jurors).

If you misplaced your summons or have any questions regarding qualification concerns for student status, disability, military status, or prior service, please call 240-777-9090 between the hours of 10:30 am and 4:00 pm Monday-Friday.

 

NOTE:All requests for ADA accommodations must be made by phone.

NOTE:If you have served FEWER than 5 days, you are eligible for service after 1 year. If you have served MORE than 5 days, you are exempt from service for 3 years.

  1. Citizenship: In order to serve as a juror in Montgomery County, you must be a citizen of the United States. If you are not a citizen, check "No" in box 11 of the Juror Qualification Form, attach a photocopy of your student/work visa or resident alien card, and return both to the Jury Commissioner at the above address in advance of your service date.

  2. Residency: You must be a resident of Montgomery County to serve as a juror at the Montgomery County Circuit Court. If you no longer reside in Montgomery County, check "No" in box 12 of the Juror Qualification Form, attach a copy of your Motor Vehicle Administration (MVA) identification or Voter Registration card, and return both to the Jury Commissioner in advance of your service date. Since your jury record was established using data from either the MVA or list of registered voters, it is important that your address be changed with both agencies so that your name may be removed from the jury list in Montgomery County.

  3. Language: You must be able to read, write, speak and comprehend the English language to serve as a juror. If you do not, check "No" in box 13 of the Juror Qualification Form and return it to the Jury Commissioner in advance of your service date.

  4. Age: You must be an adult to serve on Jury Duty. If you are younger than 18, check "Yes" in box 14 of the Juror Qualification Form and return it to the Jury Commissioner in advance of your service date.
  5. Medical/Physical: If you need accommodations for a medical or physical condition, fax a written request from a licensed physician indicating your Badge ID number and whether the request is for temporary or permanent excusal to 240-777-9097 to the Jury Commissioner, in advance of your service date. Be sure to also return your completed Juror Qualification Form.

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