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Affidavit for Exemption

  1. Instructions

    You may claim a statutory exemption by completing the following online jury affidavit and clicking submit. By submitting the form below, you are certifying that the information submitted is true and correct.

    For additional options on how to claim an exemption or additional questions pertaining to this summons, contact the court at 817-952-2151.

  2. I do solemnly swear that I am exempt from jury service for the reason indicated below:

  3. Please enter your full name.

  4. Leave This Blank:

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