DeWitt County, TX · DeWitt County

No notary required

Claim for a Permanent Exemption for Jury Service Based on Age

This form lets a DeWitt County resident who is 70 or older claim a permanent exemption from jury service.

At a glance

Issued by
City of DeWitt County · DeWitt County, DeWitt County, Texas
Notarization
Not required: file this form without a notary.
Official source
co.dewitt.tx.us
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

DeWitt County residents who are 70 or older can use this form to claim a permanent exemption from jury service based on age. The form asks for the claimant’s name, address, date of birth, confirmation that they are over 70, and signature and date.

Who needs it

A DeWitt County resident who is 70 or older and wants to claim a permanent exemption from jury service based on age needs this form.

How to submit it

Return the completed form to Esther Ruiz, DeWitt County District Clerk, at 307 N. Gonzales St., Cuero, TX 77954, or to the District Clerk’s Office on the courthouse’s first floor.

About notarization

This form is signed and dated without a notary; it does not mention any notarized or sworn attachment or related step.

How to submit this form

  1. 1

    Download the Form

    Download the DeWitt County claim form for a permanent jury-service exemption based on age.

  2. 2

    Complete the Form

    Enter your name, address, and date of birth, confirm you are over 70, then sign and date the form.

  3. 3

    Gather Attachments

    The form does not mention any required attachments.

  4. 4

    Submit to the District Clerk

    Return the form to the District Clerk at the address provided or to the District Clerk’s Office on the courthouse’s first floor.

Frequently asked questions

Who can claim a permanent jury-service exemption based on age?
The form says a person must be 70 or older to claim permanent exemption from jury service based on age.
What information does the form ask for?
It asks for your name, address, date of birth, confirmation that you are over 70, and your signature and date.
How do I submit the jury-service exemption claim?
Return the completed form to the DeWitt County District Clerk at 307 N. Gonzales St., Cuero, TX 77954, or to the District Clerk’s Office on the courthouse’s first floor.
Do I need a notary for the jury-service age exemption claim?
No. This form is signed and dated without a notary, and it does not mention any notarized or sworn attachment or related step.

Need something notarized?

This Claim for a Permanent Exemption for Jury Service Based on Age doesn’t need a notary, but Texas residents can notarize other documents online with a commissioned online notary.