FAILURE TO OBEY THIS SUMMONS MAY RESULT IN A FINE OF UP TO $1,000, IMPRISONMENT OF UP TO (3) DAYS,
ORDER TO PERFORM COMMUNITY SERVICE, OR SOME COMBINATION THEREOF. 28 U.S.C. § 1866(g).
The 5th Amendment to the U.S. Constitution guarantees all people the right to a trial by jury. The law requires your service.
UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF MICHIGAN
STEP 2 – CHECK REPORTING STATUS
STEP 3 – REPORT ONLY IF REQUIRED
Oce of the Clerk, Ann E. Filkins
SUMMONS FOR FEDERAL JURY SERVICE
YOUR JURY SERVICE LOCATION:
You (or someone on your behalf) MUST complete a qualification
questionnaire within 10 days of receipt of this federal summons.
The questionnaire will prompt for any name or address changes.
Provide an email address, if possible. A completed questionnaire
must be received by the court before any other requests will be
processed. The back of this form contains information regarding
excuse and postponement requests.
To complete the questionnaire electronically:
(1) www.miwd.uscourts.gov/jury
(2) Click eJuror (Respond Online/Check status)
(3) Follow prompts and submit questionnaire
(4) If you need a PAPER questionnaire or have questions, please
call the automated JURY ASSIST LINE at (800)446-8713.
(5) If you are age 70 or above and do not wish to serve, simply select the
"Over 70" exemption when completing the questionnaire. No additional
request is necessary. A confirmation email or letter will be sent to you.
FIRST STATUS: Reporting information for Week 1 will be available
after 12 noon on Friday BEFORE the term begins.
WEEKS 2-4: If you are not selected to report the first week, you
must continue to check your status once each week until either
the term ends or you have been selected and served as a juror in
a trial.
HOW TO CHECK REPORTING STATUS:
(1) Call (800) 553-6050 -or- log into eJUROR
(2) Enter your 9-digit PARTICIPANT NUMBER
(3) Follow the instructions given
Not all qualified persons will have to report in person. If
you report to court unnecessarily without checking your
reporting status, the court cannot pay you.
If you are required to appear in person for jury selection,
BRING YOUR PHOTO ID AND THIS SUMMONS
FORM WITH YOU.
STEP 1 – COMPLETE QUESTIONNAIRE
DO NOT REPORT IN PERSON
UNLESS INSTRUCTED TO DO SO
PARTICIPANT NUMBER:
JUROR NUMBER:
JURY TERM BEGINS:
LENGTH OF TERM:
4 WEEKS
(for those not excused or postponed)
**SAMPLE**
FEDERAL JURY SERVICE INFORMATION
Persons Aged 70 or Above
The court oers an exemption to citizens who
are age 70 and above who do not wish to serve. No
reason is required other than to select the “Over 70”
reason when completing the qualification questionnaire.
Active Military, Elected Ocials,
Police/Fire/Safety Personnel
Complete questionnaire and select applicable item. Do
not submit a separate request. Upon review, the court
will exempt you from jury service.
Non-U.S. Citizens
Complete questionnaire and select applicable
item. Do not submit a separate request. Upon review,
the court will disqualify you.
Federal Court Jurisdiction
This federal court’s jurisdiction covers 49
counties within the State of Michigan and has only 4
reporting locations. You are summoned to the reporting
location nearest the address on your voter registration
or driver’s license/state identification card.
Name and/or Address Change
If your current name and/or address does not
match what is on the summons form, please provide
updated information when completing the
questionnaire. If you still reside within this district’s
jurisdiction, you may need to be re-summoned to a
dierent reporting location. If you no longer reside
within this district, you will be disqualified from service.
College Students
Complete questionnaire and include school
information. Students are not automatically excused
and may request postponement to more convenient
summer or winter terms when possible. Students who
attend school outside of the court’s jurisdiction should
update their address information and provide dates of
their absence from this district/state. The court will do
its best to accommodate student needs.
Pending Charges/Prior Convictions
Complete questionnaire which will ask about
any pending criminal charges and/or prior convictions.
In most situations, the court will notify you of
disqualification unless you provide information that
your right to serve on a jury has been restored.
Health (Mental/Physical) Impairments
Complete questionnaire and indicate physical/
mental status. An excuse request will be required, along
with a doctor’s statement indicating the nature of the
impairment. If the summoned person is currently
employed, the medical statement must explain why the
person can work but not serve as a juror.
Overnight Accommodation
Jurors who must travel 50 miles in winter or 75
miles in summer from home to court may arrange for
overnight lodging, reimbursed up to current federal
government rate. Additional information will be
provided if you are required to appear in person for jury
selection.
Childcare / Care Givers for Minors or
Elderly Persons
The court does not provide childcare, nor are children
permitted to attend court proceedings.
Accommodations should be made in advance if a parent
or care giver for minors or elderly persons is required to
appear for jury selection. Generally, if another adult
resides in the household or is available as an alternate
care giver, the summoned person will need to appear (if
required) and participate in the jury selection process.
The summoned person will have an opportunity to
explain their situation, and the judge may choose to
excuse at that time.
Travel / Prior Commitment /
Appointments
Complete questionnaire and indicate specific dates
within the 4-week jury term that may conflict with
travel plans or other scheduled commitments. Upon
review, the court may be able to accommodate you
during the term or may postpone you to a new term.
Transportation The court does not
provide transportation to or from any
reporting location. A person without reliable
transportation and/or a driver’s license should indicate
such on their questionnaire and attempt to make
alternate transportation arrangements if they are
required to appear for a jury selection. A summoned
person who is required to appear will receive roundtrip
mileage on their juror check regardless of the travel
method used; however, the court is not allowed to
reimburse for taxi service or trac tickets.
Attendance Fees/Parking
A person summoned for federal jury service is
paid $50.00 per day for each day they are required to
report to the courthouse. The court will validate parking
daily where possible (refer to map on front of this
form). The court will reimburse for paid parking
expenses. All jurors are paid via check, typically within
10-15 days.
Financial / Business / Employment
Hardship
In most situations, the court will expect a person
summoned and otherwise qualified to appear and
participate in the jury selection process (if required).
During the selection process, each person will have an
opportunity to explain to the judge and attorneys on
the case a hardship that might result from serving as a
juror. The judge may choose to excuse at that time.
Entering Federal Courthouse
If required to report in person, expect
airport-style security screening. You may be asked to
remove shoes, belts, other items. Cell phones are
allowed for jurors only (Wi-Fi is not available). Do not
bring any weapons, knives, blades, tools, other sharp
objects, or aerosol sprays. Avoid perfume/scents. Food
(sack lunch/snacks) and drink are permitted (only water
may be consumed in courtroom). Additional
information will be provided should you need to report.
The jury oce cannot excuse you over the telephone.
Requests must be submitted in writing. To allow the
jury oce to process requests as quickly as possible,
ONLY SUBMIT A REQUEST ONCE.
*To submit a request electronically via eJUROR:
- Read all information on this form
- Complete qualification questionnaire
- Log into eJUROR and select the Excuse/ Postpone
/ Partial Excusal tab.
- Upload supporting documentation, if applicable
[Note: you will receive a message that your status does
not allow you to submit a request via eJUROR if your
questionnaire is still pending review by the jury oce.]
*To submit a request electronically via court’s
website:
- Read all information on this form
- Complete qualification questionnaire
- Go to the court’s website:
www.miwd.uscourts.gov/jury
- Select the tab “Request an Excuse or Deferral”
- Follow the instructions to submit the form online
- Use Upload File option in eJuror or email any
support
ing documentation to
*To submit a request in paper format:
- Read all information on this form
- Request a paper questionnaire at (800) 446-8713
- Mail excuse/postponement request, doctor’s note,
etc., along with completed paper questionnaire (if
not already submitted) to the jury oce at the
address below.
The court will notify you by email or letter once your
request has been reviewed and a decision has been
made. In some instances, the jury oce may contact
you for additional information. If your request is
denied and you are required to appear in person for a
jury selection, you
will have an opportunity to explain
your situation to the judge during that process.
HOW TO SUBMIT EXCUSE /
POSTPONEMENT REQUEST
CONTACT INFORMATION
Automated Information
Paper Questionnaire Requests: (800) 446-8713
Juror Assist Line (800) 446-8713
Juror Reporting Status: (800) 553-6050
Mailing Address:
U.S. District Court
Attn: Jury Dept.
110 Michigan NW, Room 399
Grand Rapids, MI 49503
Website/eJUROR:
Scan QR code or visit www.miwd.uscourts.gov/jury
Email: [email protected]
Fax: (616) 432-6987
Jury Department:
(800) 553-6050 or
(616) 456-2383
