Record of the Number of Grand Jurors Concurring in an Indictment
Federal · United States Courts · Effective January 1, 2009
This form is used to officially record how many grand jurors agreed to an indictment in a specific case. The foreperson of the grand jury fills out this form to certify the number of concurring jurors.
Where this fits in a case
General & infoInformation / general use — not tied to one step of a case
This form is used after a grand jury session to document the number of jurors who agreed to an indictment for a case.
Prepared by the court or clerk.
Common questions
- Who fills out this form?
- The foreperson of the grand jury fills out this form.
- What does this form record?
- It records the number of grand jurors who agreed to the indictment in the case.
Revision history
No changes recorded since we started tracking this form on October 9, 2026. The current version took effect January 1, 2009.
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