§ 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. 
 

[2006, ch. 44, § 6; ch. 372, § 13; 2007, ch. 13.]