Flathead County, MT · Flathead County
Affidavit of Jury Excuse
Jurors summoned for a specific District Court trial date may submit this affidavit to request excuse from jury service in Flathead County.
At a glance
- Issued by
- City of Flathead County · Flathead County, Flathead County, Montana
- Notarization
- Not required: file this form without a notary.
- Official source
- flatheadcounty.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This affidavit lets a juror request excuse from jury service for a specific trial date before the District Court. It may not be used for another court. The juror provides a reason for the request, contact details, juror number, and a signed and dated statement that the information is true under penalty of perjury.
Who needs it
A juror summoned for a specific District Court trial date who wants to request excuse from jury service may submit this affidavit.
How to submit it
Complete, date, and sign the affidavit, then submit the original in person or by mail to the Clerk of District Court, 920 South Main, Ste 300, Kalispell, MT 59901.
About notarization
This document has no notary block; the juror signs and dates the affidavit, which states the information is true under penalty of perjury.
How to submit this form
- 1
Download the Affidavit
Download the Affidavit of Jury Excuse for a request involving a specific District Court trial date.
- 2
Complete the Form
Provide the trial date, reason for the request, address, email, phone number, and juror number.
- 3
Sign and Date
Sign and date the affidavit and its statement that the information is true under penalty of perjury.
- 4
Submit the Original
Submit the original in person or by mail to the Clerk of District Court at the address on the form.
Frequently asked questions
- Who can use the Affidavit of Jury Excuse?
- It may be used only by a juror summoned for jury duty on a specific trial date before the District Court. The instructions say it may not be used for another court.
- Do I need a notary for the Affidavit of Jury Excuse?
- No. The document has no notary block; the juror signs and dates the affidavit, which states the information is true under penalty of perjury.
- How do I submit the Affidavit of Jury Excuse?
- Complete, date, and sign it, then submit the original in person or by mail to the Clerk of District Court at 920 South Main, Ste 300, Kalispell, MT 59901.
- What information does the affidavit ask for?
- It asks for the reason for the excuse request, the trial date, the juror's address, email, phone number, and juror number, along with a signature and date.