All jurors must complete the following form to pre-register.
- indicates required field.
If the mailing address displayed is wrong or outdated, please correct all fields before you submit.
Your contact information is private. The District Clerk’s Office will only use it for jury service purposes.
Street, Apt#
(Apt or Unit# MUST be included with Street)
City
Zip
TX
County
Select
Harris
Other
TDL#/State ID
If incorrect see clerk at check-in
U.S. Citizen
Yes
No
Race/Ethnicity
- Required by statute
Select
{{r.CodeDesc}}
Race Other
Date of Birth
If incorrect see clerk at check-in
Age
Contact info
In order to expedite your payment for serving as a juror, please, provide your email address and your cellular phone number.
Contact Info
- Will only be used for official jury duty communication.
Mobile Phone (Preferred)
At least one contact number is required.
Opt out of text reminders
Alternate Phone
Email
Gender
Select
{{r.CodeDesc}}
Gender Other
Are you employed?
Yes
No
Time employed at current job
Years
Months
Work Phone
Your Employer
# children regardless of whether they are living at home
Select
Age
Range (youngest to oldest)
from youngest to oldest
- Invalid Age Range
from
years
yrs
to
years
yrs
Your Occupation
- If none, enter N/A
Highest level of completed education
Select
{{e.CodeDesc}}
Marital Status
Select
{{m.CodeDesc}}
Spouse's First Name
Spouse's Middle Name
Spouse's Last Name
Is spouse employed?
Yes
No
Spouse's Occupation
- If none, enter N/A
Spouse's Employer
Spouse's Time Employed
Years
Months
Have you ever sustained any accidental bodily injury requiring medical
attention?
Yes
No
If yes, list type of injury?
Have you ever been accused, a complainant or a witness in a criminal
case?
Yes
No
Have you ever served on a civil jury?
Yes
No
Have you ever served on a criminal jury?
Yes
No
You selected no to being a U.S. Citizen.
you selected other.
You must be a U.S. citizen and a resident of Harris County to participate in jury duty. Per Tex. Gov’t Code Sec. 62.0132(h) the person will no longer be eligible to vote if the person fails to provide proof of citizenship.
I CERTIFY THAT ALL ANSWERS ARE TRUE AND CORRECT.
Report Disqualification
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