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Juror Qualification Form

Fields marked with an asterisk (*) are required.

If you complete and successfully submit this online summons form, you do not need to return the summons card that was mailed to you.

 
  
   
   
   
   
 
 
If retired, previous occupation
 

 
 
 
 
 
 
 
 
 
 
 
 
 







 
 
*Subject to the penalty for perjury, I declare, swear or affirm that the foregoing statements on all sections of this form are true to the best of my knowledge and belief, and I will appear on the date summoned unless otherwise excused.
 

Erie County Courthouse - 140 West Sixth Street, Erie, PA 16501 - (814) 451-6000 - TDD Phone: (814) 451-6237 - Hours: Monday through Friday, 8:00am to 4:30pm
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