Texas community resource
Permanent Jury Service Exemption Claim Based on Age
Texas Office of Court Administration
OCA model claim form for a person age 75 or older to request a permanent exemption from Texas jury service based on age.
How to get help
Complete and sign the form and submit it according to the instructions from the district clerk, county clerk, municipal court, justice court, or other jury authority that issued the summons or maintains the jury record.
Who this service helps
A person who is 75 years of age or older may use the model form to claim the age-based permanent exemption, subject to the receiving jury authority's procedures and verification.
Where this service is available
Service area: Texas residents age 75 or older seeking a permanent age-based exemption from jury service, including residents in Central Texas.
A service area describes where help is offered or who may be served. It is not necessarily the organization’s physical location.
Location and contact
Source and verification
Source: Public-source listing
Cost / fees
No fee is stated for the model exemption claim form; copying, mailing, or legal-service costs may apply.
About this service
The one-page form records the claimant's name, address, date of birth, assertion that the claimant is at least 75, request for the permanent exemption, and signature.
Other resources that may help
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