Olney, TX · Young County

No notary required

Municipal Court Jury Exemption / Disqualification Request

Olney Municipal Court jurors use this request to ask the court to approve an exemption or disqualification from jury service.

What this form is

This request lets a summoned Olney Municipal Court juror provide identifying and contact information and ask for an exemption or disqualification. It lists reasons such as age, caregiving, student status, recent county jury service, or another Texas-law exemption or disqualification, with space to explain. The court reviews the request; it does not excuse jury service unless approved.

Who needs it

A person summoned for Olney Municipal Court jury service who wants to request an exemption or disqualification should complete this form.

How to submit it

Return the completed request to Olney Municipal Court, 201 E. Main Street, Olney, TX 76374. The form lists (940) 276-2014 and [email protected].

About notarization

This document is signed and dated without a notary; the signer certifies the information is true, and no notarized or sworn attachment is mentioned.

How to submit this form

  1. 1

    Download The Form

    Download the Municipal Court Jury Exemption / Disqualification Request.

  2. 2

    Complete The Request

    Enter your juror and contact information, check each applicable reason, and explain your request if needed.

  3. 3

    Sign And Date

    Certify that the information is true, then sign and date the request.

  4. 4

    Return It To The Court

    Return the completed request to Olney Municipal Court at the address listed on the form.

Frequently asked questions

Do I need a notary for the Municipal Court Jury Exemption Request?
No. The form asks the juror to certify the information, sign, and date it; it does not mention a notarized or sworn attachment.
How do I submit the Municipal Court Jury Exemption Request?
Return it to Olney Municipal Court, 201 E. Main Street, Olney, TX 76374. The form also lists a phone number and email address.
What reasons can I select on the request?
The listed reasons include being 65 or older, caregiver responsibilities, student status, recent county jury service, or disqualification or exemption under Texas law.
Does submitting the request excuse me from jury service?
No. The form says the request is subject to review and does not excuse jury service unless the Municipal Court approves it.

Need something notarized?

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