Did you receive this form?
Juror Qualification Questionnaire
If you received a Juror Qualification Questionnaire from the U.S. District Court, you are being considered for jury service. However, this is not a summons for jury service and you are not being called to report at this time.
The form is used to obtain information about you so that we can objectively determine whether you are qualified to serve as a juror. You must complete and return by mail, or on-line using eJuror within 10 days of receipt.
Have a question about this form? The jury staff has provided a list of frequently asked questions available here.
What if I receive a Juror Qualification Questionnaire?
The questionnaires are used to determine who is qualified to serve on jury duty. Pursuant to 28 U.S.C. § 1863(b)(6), or as subsequently amended, the following persons are exempt from jury service:
- Members in active service of the Armed Forces of the United States; or
- Members of the fire or police department of any State, the District of Columbia, any territory or possession of the United States, or any subdivision of a State, the District of Columbia, or such territory or possession; or
- Public officers in the executive, legislative, or judicial branches of the Government of the United States, or of any State, the District of Columbia, any territory or possession of the United States, or any subdivision of a State, the District of Columbia, or such territory or possession, who are actively engaged in the performance of official duties. Regardless of your status, you must fully complete the form, sign it, and return it in the business reply envelope provided. As an alternative, you may log in to eJuror and complete the form now. This requires your 9-digit participant number; e.g., 1001XXXXX.
What should I do if the person (student) is away at school?
If you are a student attending a school located outside of the State of West Virginia, your parent can provide you with the information necessary to log in to eJuror so that you can complete the form online yourself. Alternatively, your parent can complete the paper Questionnaire on your behalf. DO NOT update your mailing address to your school address unless you have permanently moved to that address.
What should I do if the person no longer lives at this address?
If you know the addressee’s current address, please forward the envelope to them. Otherwise, write “No Longer At This Address” on the envelope and place it in your mailbox or any U.S. Postal Service collection box.
What should I do if I permanently changed my address or moved out of state?
If submitting the Questionnaire online via eJuror, you will be able to update your name and/or address online. If submitting the paper version of the Questionnaire, cross out your address on the form and indicate the correct information. Please write carefully.
What should I do if the person is deceased?
Please state this fact on the back of the form and sign your name on behalf of the deceased person and return the form to the court. A death certificate is not required.
What if I’m not able to return the form within 10 days?
There is no need to contact the court. Please complete the form as soon as possible. If you are away from home for an extended period, have someone hold the form for you to complete when you return.
What should I do if I lost my Qualification Questionnaire?
Contact the court so we can mail you another questionnaire.
How can I be permanently excused from serving?
The court may deem that you are disqualified from serving based upon your answers to the questionnaire. However, if not, you would have to be eligible for one of the three excuse categories under Number 1. Otherwise, if you are deemed qualified to serve and you have a hardship, you will have the opportunity to address your concerns if you are summoned sometime in the future.
I was permanently excused from previous federal jury service, but I received another questionnaire. Why?
We randomly select names from the Voter Registration lists every two years. When you are excused from jury service your name remains on the voter files, so there is the possibility of being selected as a prospective juror again.