Office Hours: Tuesdays 8:30 AM to 11:30 AM, and Wednesdays 10:00 AM to 1:00 PM.
1. First Name (Required)
Last Name (Required)
Juror Identification Number
Today's Date (mm/dd/yyyy)
Street Address (Required)
Home Telephone (Required)
2. Are you a resident of Livingston County, Illinois? (Required)
3. Are you a U.S. Citizen? (Required)
4. Date of Birth (mm/dd/yyyy)
6. Are you married?
If yes, first name of spouse
7. Is your eyesight good?
8. Is your hearing good?
9. Do you read, write and understand English?
10. If you answered "No" to 7,8, and/or 9, please explain:
11. Do you have any physical or mental impairment(s) which would interfere with your jury service?
If you answered yes to 11, please explain:
12. Have you ever served as Juror?
If you answered "Yes", please list the dates and which county:
13. Do you care for a disabled/dependent individual which would interfere with your jury service?
YesNo If you Answered "Yes", please explain:
14. Is there any other reason you cannnot serve as a juror?
If you Answered "Yes", please explain:
I swear or affirm that the above information is true to the best of my knowledge as it pertains to my qualifications for jury service.
Input this code:
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