Model Grand Jury Summons & Questionnaire – Pop. More Than 1,000
Texas · Texas Judicial Branch
This form is a summons and questionnaire for people who are asked 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 1,000 or more needs to summon people to serve on a grand jury. The person must complete the questionnaire before reporting for service.
Either party may file.
Common questions
- Who should fill out this form?
- The prospective grand juror fills out the questionnaire part of the form.
- What happens if I don't fill out the questionnaire?
- The directions state that the person must bring the questionnaire with them when they report for jury service.
- What are the disqualifications?
- The form lists several reasons why a person might be disqualified, such as being under 18 or having certain criminal convictions.
Revision history
No changes recorded since we started tracking this form on October 9, 2026.
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