DeWitt County, TX · DeWitt County
Claim for a Permanent Exemption for Jury Service Based on Age
DeWitt County residents age 75 or older use this form to claim a permanent exemption from jury service and return it to the County Clerk.
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
This form lets a DeWitt County resident who is 75 or older claim a permanent exemption from jury service based on age. The form asks for the claimant’s name, address, and date of birth, and includes a statement claiming the exemption plus spaces for a signature and date. The document says to fill out and return the form to the County Clerk.
Who needs it
A DeWitt County resident age 75 or older who wants to claim a permanent exemption from jury service based on age needs this form.
How to submit it
Return the completed form to Natalie Carson, DeWitt County Clerk, at 102 N. Clinton St., Suite 120, Cuero, TX 77954, or in person to the County Clerk’s Office at that address.
About notarization
This form is signed and dated without a notary; the signer just signs and dates it.
How to submit this form
- 1
Download the Form
Download the permanent jury-service exemption claim form.
- 2
Complete the Form
Enter your name, address, and date of birth, then complete the claim statement.
- 3
Sign and Date
Sign and date the form. No attachment is listed on the form.
- 4
Return It to the County Clerk
Return the form to Natalie Carson at the listed County Clerk address or in person to the County Clerk’s Office.
Frequently asked questions
- Who can claim a permanent jury-service exemption using this form?
- The form says a claimant must be 75 or older and want a permanent exemption from jury service based on age.
- What information does the form ask for?
- It asks for the claimant’s name, address, and date of birth, and includes a statement claiming the exemption with spaces for a signature and date.
- How do I submit the permanent exemption claim?
- Return the completed form to Natalie Carson, DeWitt County Clerk, at 102 N. Clinton St., Suite 120, Cuero, TX 77954, or in person to the County Clerk’s Office at that address.
- Do I need a notary for the permanent jury-service exemption form?
- No. This form is signed and dated without a notary; the signer just signs and dates it.