Rockwall County, TX · Rockwall County
Claim for a Permanent Exemption from Jury Service Based on Age
This claim lets a person over 75 request a permanent exemption from jury service by providing their name, address, birth date, and signature.
At a glance
- Issued by
- City of Rockwall County · Rockwall County, Rockwall County, Texas
- Notarization
- Not required: file this form without a notary.
- Official source
- rockwallcountytexas.com
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form is a claim for a permanent exemption from jury service based on age. It states that the signer is over 75 and wants to claim the permanent exemption. The form asks for the person's name, address, date of birth, and signature; it does not provide submission instructions or list attachments.
Who needs it
A person 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 department named on the form; check the county website for current contact details.
About notarization
This claim is signed without a notary; it lists no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download the Claim
Download the claim for a permanent exemption from jury service based on age.
- 2
Complete the Form
Enter your name, address, and date of birth. The form states that you are over 75 and want to claim a permanent exemption.
- 3
Sign the Claim
Sign the form to make the claim.
- 4
Check for Attachments
The form does not list any attachments.
- 5
Submit to the County
Submit it to the county department named on the form; check the county website for current contact details.
Frequently asked questions
- Who can use this age-based jury exemption claim?
- The form is for a person over 75 who wants to claim a permanent exemption from jury service based on age.
- What information does the form ask for?
- It asks for the signer's name, address, date of birth, and signature, and states that the signer is over 75.
- Do I need a notary for this jury service exemption claim?
- No. The claim is signed without a notary, and the form lists no notarized or sworn attachment.
- How do I submit the claim?
- The form does not give submission instructions. Submit it to the county department named on the form; check the county website for current contact details.