Juror Qualification Questionnaire – Frequently Asked Questions (FAQ)



I received a Juror Qualification Questionnaire, but have health issues which prevent me from
serving as a juror, do I have to complete the questionnaire?
    · Yes. Please include a doctor’s statement detailing how your health issue prevents you from serving as a juror. If the statement can’t be obtained within the 10 days, return the questionnaire and mail the statement as soon as possible.

We received a Juror Qualification Questionnaire addressed to a family member who is a
student or in the military and can’t fill out the questionnaire and return it within the 10 day
timeframe. What do we do?
    · You as the parent, spouse, or guardian can complete the questionnaire for your family member. Please sign your name on behalf of the child, spouse or quardian (i.e.: - sign your name “John Doe - father”). Also, be sure to date the questionnaire.

A Juror Qualification Questionnaire came to our house addressed to a family member who has
moved out of state, what should we do?
    · Forward the questionnaire to the family member and they should complete the questionnaire, even though it will not be returned within the 10 day timeframe. They will need to provide their updated address to the right of their name/address on the questionnaire. Upon receipt, we will update our records accordingly.

A Juror Qualification Questionnaire came to our house addressed to a family member who is
deceased, what should we do?
    · Please write “Deceased” on the questionnaire (near the name/address). No verification (death certificate or obituary) is necessary. Please sign your name and relationship on behalf of the deceased (i.e.: - sign your name “John Doe - father”). Also, be sure to date the questionnaire.

Is a person over 70 years old required to complete the Juror Qualification Questionnaire?
    · Yes. You can be excused, but are not automatically excused, because of age. Please complete, sign, and date the questionnaire. If you are over 70 and want to be excused, please fill in the oval for #1 under Question 14 - “Grounds for Requesting Excuse”. If you are over 70 and want to serve, please complete the questionnaire and return it without requesting to be excused.

The return address on the envelope was from Cedar Rapids - does that mean I have to serve in
Cedar Rapids?
    · No. The mailing was sent from the Cedar Rapids office and the questionnaire should be returned to Cedar Rapids. If your appearance is required, at a later date, you will report to either the Cedar Rapids Courthouse or the Sioux City Courthouse depending on your home location.

Grounds for Requesting Excuse (Question #14):

There are only three grounds for claiming an excuse:
  1. If you are over 70 and want to be excused - fill in the oval for answer #1
  2. If you are a person who serves without compensation as a volunteer firefighter, member of a rescue squad, etc. - fill in the oval for answer #2
  3. If you have served as a petit or grand juror - fill in the oval for answer #3 and provide details on the reverse side of the questionnaire. Be sure to include dates and the location where you served as a juror.
The remaining ovals for Question #14 (4 through 10) are not valid responses and the ovals should not be filled in.