§ 8-302. Initial questions

   (a) Basic form. -- In accordance with an agreement, if any, under § 8-213 of this title, a juror qualification form in substantially the following form shall be provided to each prospective juror:
 
 
                           Juror Qualification Form                            

 
   Name:
 
 
 

 
   Resident address:
 
 
 

 
   Telephone: (home)           (work)           (cellular)          
 
   Age:         Date of Birth:                                                
 
 
 

 
   If you are over 70 years of age, do you wish to be exempted from jury 
services       Yes       No
 
 
 

 
   U.S. Citizen        Yes       No
 
 
 

 
   Able to comprehend, read, speak, and write English
          Yes       No
 
 
 

 
   Highest level of education completed:
 
         high school      college      graduate school      other
 
 
 

 
   Occupation of prospective juror:                                           
 
 
 

 
   Name of employer:                                                          
 
 
 

 
   Occupation of spouse, if any:                                              
 
 
 

 
   Disability preventing satisfactory jury service        Yes       No
 
 
 

 
   Do you want an accommodation under the federal Americans with Disabilities 
Act                                                                        Yes
                                                                             No
 
 
 

 
   Pending charge for a crime punishable by imprisonment exceeding 6 months 
       Yes       No
 
 
 

 
   Conviction of crime punishable by imprisonment exceeding 6 months and 
received a sentence of imprisonment for more than 6 months and not legally 
pardoned       Yes        No
 
 
 

 
   Date of Conviction                                                         
 
 
 

 
          Elected official of the federal Legislative Branch, as defined in 2 
            U.S.C. § 30a.
 
 
 

 
         Active duty member of armed forces exempted in accordance with 10 
            U.S.C. § 982.
 
 
 

 
         Member of Maryland's organized militia exempted in accordance with 
            Public Safety Article § 13-218.
 
 
 

 
   Prior jury service within 3 preceding years:                               
 
 
 

 
   Form completed by me    Another (name)          and, if another, why?
 
 
 

 
   Under the penalties of perjury, the responses are true to the best of my 
knowledge
 
 
 

 
   Signed:                                                                    
 
 
 

 
 
                               Prospective Juror                               

 
   Individual completing form for prospective juror:
 
 
 

 
   This form must be completed, signed, and returned to the jury commissioner 
within 10 days after receipt. Documentation for excusal due to disability, 
exemption based on armed forces or militia service, pardons, and/or prior 
jury service must be attached.
 
 
 




(b) Additions to form. -- A juror qualification form for a county may include other questions as the county's jury plan requires.

HISTORY: 2006, ch. 44, § 6; ch. 372, § 13; 2007, ch. 13.