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 Mandatory Jury Eligibility Form Jan. 1, 2023 March 20, 2023

NA

juries-form-1-en-jan2023-web.doc
1A Digital Mandatory Jury Eligibility Form May 1, 2023 June 28, 2023 form-1a-digital-mandatory-eligibility-form-en-jul23.pdf

NA

2 Jury Roll Certification April 1, 2018 April 11, 2018

NA

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 Jan. 1, 2023 March 20, 2023

NA

juries-form-4-en-jan2023-web.doc
5 Notice of Jury Cancellation Jan. 1, 2024 Feb. 26, 2024

NA

juries-form-5-en-jan24-web.docx
6 Notice of Jury Postponement Jan. 1, 2024 Feb. 26, 2024

NA

juries-form-6-en-jan24-web.docx
7 Cancellation of Summons Dec. 17, 2021 Feb. 28, 2022

NA

juries-form-7-rev1221-en.doc
8 Change of Jury Service Date Dec. 17, 2021 Feb. 28, 2022

NA

juries-form-8-rev1221-en.doc