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Jury Panel Submission

  1. Covid-19 Pre-Screening Questionnaire
    Within the last 14 days have you experienced any of the following symptoms that cannot be attributed to another health condition (check all that apply):
  2. Covid-19 related excuse or postponement

    If you are age 65 or older or an individual with a serious underlying health condition, such as chronic lung disease, obesity, asthma, high blood pressure, diabetes, or those whose immune systems are compromised, such as by chemotherapy, or you have a particular vulnerability to Covid-19 and wish to be excused from jury service or request to postpone jury service please check the appropriate box below:

  3. Leave This Blank:

  4. This field is not part of the form submission.