Juries Act forms


The forms located in the table below are for informational purposes only. They cannot be filled in electronically, and you should not bring them to court. For more information on this regulation, please click the following link: Juries Act , Regulation 680 

WARNING: Any forms shaded in grey in the table below have not yet come into force. Do not use them prior to their effective date, which is listed in the table below. Until the effective date, only use the current version of the form, which appears unshaded in the table below.


Juries Act forms
Form Number Form Title Version Date Effective Date HTML/PDF Form MS Word Form
1 Jury Questionnaire April 1, 2018 April 11, 2018 jury_questionnaire-2018.doc
2 Jury Roll Certification April 1, 2018 April 11, 2018 juries-form-2-rev0418-web.doc
3 Precept from Judge to Sheriff March 1, 2009 March 31, 2011 Juries-Form-3-rev0309-IBR.pdf Juries-Form-3-rev0309-IBR.doc
4 Summons April 1, 2018 April 11, 2018 juries-form-4-english-rev0418.doc
5 Notice to Sheriff Regarding Number of Jurors Required March 1, 2009 March 31, 2011 Juries-Form-5-rev0309-IBR.pdf Juries-Form-5-rev0309-IBR.doc
6 Notice to Sheriff Regarding Number of Jurors Required on Opening Day April 1, 2010 March 31, 2011 Juries-Form-6-rev0410-IBR.pdf Juries-Form-6-rev0410-IBR.doc
7 Notice to Juror Regarding Cancellation of Summons April 1, 2010 March 31, 2011 Juries-Form-7-rev0410-IBR.pdf Juries-Form-7-rev0410-IBR.doc
8 Notice to Juror Regarding Amendment of Date to Report for Service March 1, 2009 March 31, 2011 Juries-Form-8-rev0309-IBR.pdf Juries-Form-8-rev0309-IBR.doc
9 Jury Panels for the Superior Court of Justice April 1, 2010 March 31, 2011 Juries-Form-9-rev0410-IBR.pdf Juries-Form-9-rev0410-IBR.doc