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Qualified Juror Questionnaire

  1. Retired
  2. Retired
  3. Have you or any member of your immediate family been party to a lawsuit?
      1. Have you ever been a defendant in a criminal action OTHER than a traffic violation?
          1. Have you ever filed a lawsuit for bodily injury
              1. Do you drive an automobile?
                  1. Are you related to, or close friend to, any law enforcement officer?
                      1. Have you served as a juror prior to this term?
                          1. I certify...

                            the above information to be true to the best of my knowledge. I understand that willful misrepresentation of a material fact may be punishable according to Idaho Code §2-208

                          2. Electronic Signature Agreement
                            By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
                          3. Do you wish to donate your jury fees?
                          4. Leave This Blank:

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