Model Petit Jury Summons & Questionnaire – General Model (All Population Groups)
Texas · Texas Judicial Branch
This form is a summons and questionnaire for people who are asked to serve on a jury. It asks the person for personal details, employment information, and asks them to check boxes regarding potential exemptions or reasons they might be disqualified from jury service.
Where this fits in a case
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This form is used when a person is officially summoned to appear for jury service in a specific county. The person must complete the questionnaire before reporting for service.
Prepared by the court or clerk.
Common questions
- Who needs to fill out this form?
- The form is addressed to a prospective juror who has been summoned for jury service.
- What information does the questionnaire ask for?
- It asks for personal details like name, address, phone numbers, education level, and employment history.
- What happens if I don't fill out the questionnaire?
- The instructions state that the person must complete the questionnaire and bring it when they report for jury service.
Revision history
No changes recorded since we started tracking this form on October 9, 2026.
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