Round Rock, TX · Williamson County

No notary required

Jury Service Exemption Request

Round Rock Municipal Court jurors use this request to ask for an exemption based on one of the listed statutory reasons.

What this form is

This request lets a person summoned for petit jury service in Round Rock Municipal Court ask for an exemption. It lists the eligible statutory exemptions and says work-related excuses are not valid. The juror provides contact information, the date summoned, and the reason for the request, then swears the information is true and correct and confirms supporting documentation has been provided.

Who needs it

A person summoned for petit jury service in Round Rock Municipal Court who believes one of the listed statutory exemptions applies should use this request.

How to submit it

The form names Round Rock Municipal Court and lists its address and fax number. Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document does not require a notary; the juror signs and dates a statement swearing the information is true and confirming necessary documentation was provided.

How to submit this form

  1. 1

    Download The Request

    Download the Jury Service Exemption Request PDF.

  2. 2

    Complete The Request

    Enter your name, phone number, address, summons date, and reason for requesting an exemption.

  3. 3

    Gather Documentation

    Provide the documentation necessary to justify your request, as stated on the form.

  4. 4

    Submit To The City

    Send the completed request to the Round Rock Municipal Court; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Jury Service Exemption Request?
No. The juror signs and dates the request and swears the information is true; the document does not contain a notary block.
Who can request a jury service exemption?
A person summoned for petit jury service in Round Rock Municipal Court may request an exemption if one of the listed statutory reasons applies.
How do I submit the Jury Service Exemption Request?
The form names Round Rock Municipal Court and lists its address and fax number. Check the city website for current contact details.

Need something notarized?

This Jury Service Exemption Request doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.