Grayson County, TX · Grayson County
Claim for a Permanent Exemption from Jury Service Based on Age
This claim lets a Grayson County resident over 75 request a permanent exemption from jury service by providing their name, address, date of birth, and signature.
At a glance
- Issued by
- City of Grayson County · Grayson County, Grayson County, Texas
- Notarization
- Not required: file this form without a notary.
- Official source
- co.grayson.tx.us
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this form to claim a permanent exemption from jury service based on being over 75 years of age. It asks for the claimant’s name, address, and date of birth, and includes a statement claiming the exemption and a space for a signature. The document does not give submission instructions or list attachments.
Who needs it
A Grayson County resident over 75 who wants to claim a permanent exemption from jury service can complete and sign this form.
How to submit it
Submit it to the county office named on the form; check the county website for current contact details.
About notarization
This document is signed without a notary; it names no notarized attachment or related sworn step, so the claimant simply signs it.
How to submit this form
- 1
Download the Claim
Download the age-based permanent jury exemption claim.
- 2
Complete the Form
Provide your name, address, and date of birth, and review the statement claiming a permanent exemption.
- 3
Check for Attachments
The document does not list any attachments.
- 4
Submit to the County
Sign the claim and submit it to the county office named on the form; check the county website for current contact details.
Frequently asked questions
- What is the Claim for a Permanent Exemption from Jury Service Based on Age?
- It is a claim for a permanent jury service exemption based on age. The form asks for the claimant’s name, address, date of birth, and signature.
- Who can use this age-based jury exemption claim?
- The form states that the claimant is over 75 years of age and wants to claim a permanent exemption from jury service on that basis.
- Do I need a notary for the age-based jury exemption claim?
- No. The document is signed without a notary and does not identify a notarized attachment or related sworn step; the claimant simply signs it.
- How do I submit the age-based jury exemption claim?
- The form does not provide submission instructions. Submit it to the county office named on the form, and check the county website for current contact details.