Form Center • Juror Summons Response Form

Steps

1. Juror Questionnaire This section is complete This section is incomplete
2. COVID-19 Supplemental Information This section is complete This section is incomplete
3. Information Regarding Jury Service This section is complete This section is incomplete

Information Regarding Jury Service

Information Regarding Jury Service
COVID-19 Related Postponement
Individuals who are 65 years or older, and persons with serious underlying health conditions, such as high blood pressure, chronic lung disease, diabetes, obesity, asthma and those whose immune systems are comprised, such as by chemotherapy for cancer or their conditions requiring such therapy, are considered to be vulnerable populations and may request a postponement of their jury duty.
If the above condition(s) applies to you, please check the box below:
1. I certify that I meet the above conditions and request that my jury service be postponed.
Postponement Due to Illness or Quarantine
Please contact the City of Victoria Municipal Court at (361) 485-3050 or courtclerk@victoriatx.gov if any of the following are true:
- You are sick or not feeling well
- You are under quarantine for COVID-19
- You have tested positive for COVID-19
-You have had contact with someone who has tested positive for COVID-19
Courthouse Security Screening
Upon entering the Courthouse, you will be screened by Courthouse Security. If you have a temperature of 99.6 degrees Fahrenheit or higher, you will not be allowed entry into the Courthouse. Additionally, Courthouse Security may deny entry if you have any of the following symptoms: fever, cough, nausea, sore throat, muscles aches, malaise, diarrhea, shortness of breath, vomiting or recent loss of taste or smell.
EXEMPTIONS OR DISQUALIFICATIONS
Instructions: You must report for jury service unless you (1) claim an exemption; (2) are disqualified; or (3) choose to postpone your service.

To claim an Exemption: Fill out the form below and mark the exemption(s) that you claim. Submit this request electronically to the City of Victoria Municipal Court Clerk’s Office seven days before your schedule date of service. NOTE: You do not have to claim an exemption and may instead choose to serve.

If you are Disqualified: Fill out the form below and mark the qualification(s) that you do not meet. Submit this form electronically to the City of Victoria Municipal Court clerk’s office seven days before your schedule date of service. NOTE: If you claim to be disqualified because you are not a resident of this county, you may become ineligible to vote in this county. If you state that you are not a U.S. citizen, you will no longer be eligible to vote if you fail to provide proof of U.S. citizenship to your county voter registrar.

To Postpone or be Excused from Service: Submit your request electronically to the City of Victoria Municipal Court Clerk’s Office seven days before your schedule date of service before your scheduled date of service.

Questions or Special Accommodations: Please contact City of Victoria Municipal Court Clerk’s Office at (361) 485-3050 or courtclerk@victoriatx.gov
Exemptions
If you wish to speak to the Judge regarding an exemption or excuse prior to your service, you may do by appearing in-person or by submitting your request through the Juror Summons Response form.
To file for postponement, exemption, disqualification, or excusal, please follow the link below:
Juror Summons Exemption or Disqualification Form
Confirmation
1. By checking this box, you certify that you have read all of the above information