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Decision Content

4-602B. Juror qualification.

[For use with Rules 1-047, 2-603, 3-603 NMRA]

 

JUROR QUALIFICATION FORM

 

Juror ID Number: ___________

 

Dear Prospective Juror:

 

Please answer each of the following questions completely. The contact information you provide will be used only by court employees and shall not be made available to the attorneys or parties in the cases that you may be selected to hear as a juror.

 

Estos formularios están disponibles en español en http://jury.nmcourts.gov. Si neccesita más ayuda en español, llame al número telefónico indicado en la primera página del citatorio para prestar servicio como jurado.

 

Name as it appears on the summons: _______________________________________

Legal name: ___________________________________________________________

Salutation (optional - Ms./Mrs., Mr., or Mx.): __________________________________

Pronouns (optional - he/him/his, she/her/hers, or they/them/theirs): ________________

Mailing address: ________________________________________________________

Home address (if different): _______________________________________________

City: ________________________________ State: _____________ Zip: ___________

Phone numbers:

Home: __________________________________

Business: ___________________ Ext: _________

Cell: ____________________________________

E-mail: __________________________________

 

1.         Do you live more than forty (40) round-trip miles from your home to the courthouse?

Yes ❏   No ❏

If yes, what is your round-trip mileage? ________________

Would you like to be compensated for mileage? Yes ❏   No ❏

 

2.         Are you employed by the public schools, local government, or the State of New Mexico?

(Note: these public employees cannot be compensated by the court for their jury service.)

Yes ❏   No ❏

 

3.         Of which New Mexico county are you a resident? ____________________

 

4.         Are you a United States citizen? Yes ❏   No ❏

If no, country of citizenship: _________________________

 

5.         Will you need an interpreter? Yes ❏   No ❏

If yes, which language? _______________

 

6.         Have you ever been convicted of a felony? Yes ❏   No ❏

a.         If yes, please explain: _________________________

b.         If yes, have you completed all conditions of parole or probation?

Yes ❏   No ❏

c.         If yes, please enclose a copy of one of the following:

____

Certificate or letter of completion issued by the Department of Corrections of New Mexico, or another state.

____

Certificate or letter of pardon from the Governor of New Mexico, or another state.

SELECT ONE:

____

I am available to serve for the dates listed on my summons (skip to signature, sign and return form).

____

I am requesting a postponement for the reasons noted below until the following date: ________________ (jury service may be postponed for up to six (6) months).

____

I am requesting to be excused or exempted for the reasons noted below. I am submitting the required documents.

 

REQUEST FOR POSTPONEMENT, EXCUSAL, OR EXEMPTION

 

If your jury service is scheduled for a date that conflicts with your schedule, please request a postponement for a more convenient time.

 

There are NO AUTOMATIC EXEMPTIONS. All exemptions must be requested, including exemptions based on age or prior jury service.

 

ALL situations will be considered on a case-by-case basis. Please enclose a detailed explanation for cases of:

 

____

Prior jury service (provide appropriate date(s) of service and court)

____

Medical (must submit a current letter on letterhead from healthcare provider)

____

Financial hardship (not being compensated by your employer is not grounds for excusal)

____

Age: _______________ (persons seventy-five (75) and older may contact the court for an affidavit form requesting an exemption)

____

Not a resident of the State of New Mexico or ____________ County (please submit proof of residency, such as a current driver’s license or a voter registration card)

____

Caregiver: _____________________ (must submit a current letter on letterhead from healthcare provider)

____

Nursing mother (a current letter on letterhead from healthcare provider required if requesting second postponement)

____

Student or teacher (request to be postponed until school breaks - please provide below the dates when your school break begins and ends):
______________________________________________________________________

____

Other: ________________________________________________________________

 

PLEASE NOTE: Unless you receive a letter from the court stating you are excused from attending jury service, you MUST appear on the date required by the court. Not showing up for jury duty when summoned is called Failure to Appear and can result in a fine of up to five hundred dollars ($500), up to six (6) months in jail, or both. Section 31-19-1 NMSA 1978. You can call the jury division to check on the status of your excusal or postponement.

 

I swear or affirm that the information I have provided is true and correct to the best of my knowledge. I am aware that failure to submit required documentation may result in the denial of my request.

 

___________________________________
Signature of prospective juror

_________________________________
Date

 

___________________________________
Signature of the person preparing this form,
if different from prospective juror

 

_________________________________
Date

 

Please return completed Juror Qualification and Juror Questionnaire forms to the court listed on the summons you received.


[Adopted by Supreme Court Order No. 17-8300-016, effective December 31, 2017; as amended by Supreme Court Order No. S-1-RCR-2024-00063, effective for all cases pending or filed on or after October 7, 2024.]

 You are being directed to the most recent version of the statute which may not be the version considered at the time of the judgment.