Confirm Jury Attendance

Date You Are to Serve on Jury Duty:

Juror Number:

Qualifications to Serve as a Juror

In order to expedite the check-in process when you arrive for jury service, we would like to be sure you meet the minimum qualifications ahead of time to serve as a juror.

Are you 18 years of age or older?

Yes

If you are under 18 years of age, please submit a copy of your driver's license.

Submit a Verification Document.

Are you a resident of Cobb County?

Yes

If you are no longer a resident of Cobb County, please submit a copy of your valid driver’s license, current utility bill, mortgage statement/lease agreement, voter registration card, or motor vehicle registration that shows your name and current address.

Or complete an exemption form.

Print the Exemption Form or Submit a Verification Document.

Are you a citizen of the United States?

Yes

If you are not a citizen of the United States, please submit a copy of your valid U.S. Permanent Resident Card or Work Visa.

Or complete an exemption form.

Print the Exemption Form or Submit a Verification Document.

Are you the person listed on the jury summons? (This will confirm you are not attending in the place of someone else.)

Yes

If no, please contact Jury Administration at statecourtjury@cobbcounty.org.

Have you been convicted of a felony and had your civil rights removed?

Yes

Print the Exemption Form.

Have you served as a juror in the Cobb Judicial Circuit within the last 12 months?

Yes

If yes, please contact Jury Administration at statecourtjury@cobbcounty.org.

Juror Contact Information

Juror Name:

First Name

Initial

Last Name

Have you had a recent name change?

Yes

Former Name:

First Name

Initial

Last Name

New Name:

First Name

Initial

Last Name

Email Address:

Cell Phone Number:

Is your address correct on your jury summons?

Yes

Current Cobb County Address:

Street Address

City

State

Zip

Additional Juror Information

Date of Birth:

Place of Birth:

Years at current residence:

Present Employer:

Number of Years Employed:

Occupation:

List all insurance companies in which you are employed, are a policy holder, or have financial interest:

Marital Status:

Spouse Name:

First Name

Initial

Last Name

Spouse Age:

Spouse Employer:

Number of Years Spouse Employed:

Spouse Occupation:

Number of Children:

Have you or any member of your immediate family been a party to a lawsuit?

Yes

Has a claim of personal injury ever been made against you?

Yes

Are you related by blood or marriage to any person in law enforcement?

Yes

Have you been the victim of a crime?

Yes

Type of Crime:

Do you have any civil or criminal case pending in the State Court of Cobb County at the same time as your jury service?

Yes

If yes, please contact Jury Administration at statecourtjury@cobbcounty.org.

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