Model Grand Jury Summons & Questionnaire – Pop. Less Than 1,000
Texas · Texas Judicial Branch
This form is a summons and questionnaire for people called to serve on a grand jury. It asks for personal information and asks the person to check if they are disqualified or if they need an exemption from serving.
Where this fits in a case
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This form is used when a county with a population of less than 1,000 calls for prospective grand jurors to complete the questionnaire before reporting for service.
Either party may file.
Common questions
- What is this form for?
- This form serves as a summons and questionnaire for people who are called to serve on a grand jury. It asks for personal details and notes if the person is disqualified or exempt from service.
- Do I have to fill out the questionnaire?
- The directions state that before reporting for jury service, the person must complete the juror questionnaire and bring it with them.
Revision history
No changes recorded since we started tracking this form on October 9, 2026.
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