Juror Qualification Form

For Juror Qualification, please fill completely fill out the form on this page. If you would prefer, you may print the form from the link below for mailing. 
Click here to download Summons Form to be printed and mailed...Click here to download Summons Form to be printed and mailed...

ONLINE JUROR QUALIFICATION FORM

ANSWER EACH QUESTION BELOW UNDER PENALTY OF PERJURY.

Are you a citizen of the United States? Yes
No
Are you currently a resident of Davidson County? Yes
No
Are you 18 years of age or older? Yes
No
Do you read, write, speak and understand the English language? Yes
No
If another person completed this form, please provide their name address and the reason.
Have you ever been convicted or pled guilty to a theft or any felony offense? Yes
No
Do you have a physical or mental disability that would interfere with or prevent you from serving as a juror? If "Yes" please explain. See Request to be Excused/Postponed section below. Yes
No
Are you 65 years of age or older? Yes
No
If you are 65 years of age or older, do you wish to be excused from jury duty? Yes
No

Contact Information
First Name:       Middle Initial:
Last Name:   
Date of Birth:
How is your name listed on the summons/letter?
Street Address:
City:     State:
Zip:
Phone:
Your E-mail Address:
Employer:
Your Occupation:
Work Phone:
Your Spouse's Occupation:

Request to be Excused/Postponed

Please use the space provided below to state your reason to be deferred or excused from jury service. If you operate a sole proprietorship or you are self-employed, you are exempt from jury duty. Please write below if you are self-employed. You must complete this section and return this form within ten (10) days. Requests to be excused or have jury service postponed will not be considered by phone. You must also mail or fax us a letter from your doctor if you are requesting to be excused for medical reasons. If you are at least 65 years of age, a letter from your doctor is not required. If you do not receive further notice, your request has been granted.

If you need to be deferred, please list two (2) separate weeks in which you could serve. If your request is granted, you will receive confirmation and instructions by mail.

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Jury Duty Coordinator
Metro Courthouse | Jury Assembly Room
1 Public Square, P.O. Box 196355 Nashville, TN 37219-6355
Phone - 615.862.5294 | Fax - 615.862.5293
Have a question? Please review the FAQ’s.
If you still have questions, ask the Jury Coordinator. Inquiries are usually answered within three working days.