Jury Questionnaire Frequently Asked Questions

Questionnaire Form

Medical

Age, Care Home, Disabled, or Deceased

Away From Island

Military

Not a U.S. Citizen


Where can I get a replacement jury questionnaire form?

If you have lost or misplaced the jury questionnaire that was mailed to you, please contact your Circuit for a replacement.

  • First Circuit - O'ahu: (808) 539-4360
  • Second Circuit - Maui, Moloka'i, Lana'i: (808) 244-2706
  • Third Circuit - Island Of Hawai'i: (808) 961-7412
  • Fifth Circuit - Kaua'i, Niihau: (808) 482-2394

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Medical exemption?

If you are claiming an exemption due to a medical reason, attach the doctor’s certificate to the questionnaire. If you are unable to obtain a doctor’s certificate within the 10 day deadline, return the questionnaire with a note attached to indicate your medical condition and state that a certificate from your doctor will follow. If your condition is a permanent one, the doctor should state this. For the Island of Hawaii, please contact the clerk at the number indicated at the top of your questionnaire for further instructions.

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Juveniles?

If the person named on the questionnaire is below the age of 18, enter the age in question 3 and who completed the form or return the questionnaire with a note attached.

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Care Home or Disabled?

If the person named on the questionnaire lives in a care home, is disabled or physically unable to complete the form, enter your name in question 12 and reason why you are completing the form or you may return the questionnaire with a note attached to indicate the person is “in a care home” or “unable to complete form”.

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80 Years or Older?

If the person named on the questionnaire is 80 years and older, they can be exempt from jury duty. If you wish to claim this exemption, answer questions 3 and question 7 only. For question 7, shade in bubble 8.

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Deceased?

If the person named on the questionnaire is deceased, return the questionnaire with a note to indicate the date of death or attach a copy of the death certificate. Please do not send the original certificate.

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Incarcerated?

If the person named on the questionnaire is incarcerated, return the questionnaire with a note to indicate the person is “incarcerated”.

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Vacation?

If the person named on the questionnaire is on vacation, complete the form as best you can. Enter your name in question 12 and reason why you are completing the form or you may return the questionnaire with a note attached to indicate the person is “out of town”.

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Student Away At College?

If the person named on the questionnaire is a student away at college, enter your name in question 12 and reason why you are completing the form or you may return the questionnaire with a note attached to indicate the person is “away at college”.

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No Longer Reside on Island or Out of State?

If the person named on the questionnaire no longer resides on the island, return the questionnaire with a note attached to indicate “no longer a resident”. Answer question 2 and enter your current address in question 18.

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Part Time Resident?

If the person named on the questionnaire is a part time resident, return the questionnaire with a note attached and provide your primary address.

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Active Military?

If the person named on the questionnaire is in the military, you must be on active service and deployed out of state. Answer question 7. If applicable, answer question 12.

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Proof of citizenship in a country other than U.S.?

If you are claiming that you are not a U.S. citizen, please send a copy of your document showing proof of citizenship in another country such as a green card, passport or other official record.

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