Kansas State Seal
Kansas District Courts Seal
    On File Information
    Corrected Information
    Step 2 of 5 - Please answer all questions as applicable.
  • Are you a United States citizen?
  • Are you a Johnson County resident?
  • Can you read, speak, write and understand the English language?
  • Have you ever been convicted of or pled guilty/no-contest to a felony?
  • Has a Court found you to be presently incompetent or incapacitated?
  • Are there any pending charges filed against you?
  • Please provide the age of each child.
    NOTE: If requested to serve, you will be responsible for arranging your own child care.
    Please select the highest level of education you have completed:
  • Have you had any vocational or professional training?
  • Total years of residence:
    Step 3 of 5 - Please answer all questions as applicable.
    Marital Status
    Spouse's Name
    Your Employment Information
    Spouse Employment Information
  • Have you ever served as a juror?
  • Have you or any member of your immediate family been a PARTY to any CIVIL SUIT?
  • Has a CLAIM for damages for PERSONAL INJURY ever been made by or against you?
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  • Are you related to or a close friend of any LAW ENFORCEMENT OFFICER?
  • Do you require any accommodation(s) to serve as a juror?
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  • Are you requesting to be excused from jury service?
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  • Has someone else assisted you in filling out this questionnaire?
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    Step 4 of 5 - Please answer all questions as applicable.
  • Have you been exposed to COVID-19?
  • Have you tested positive for COVID-19?
  • Are you currently experiencing any symptoms of COVID-19 (including fever, cough, sore throat,respiratory illness, or difficulty breathing) and been told to quarantine?
  • Are you an employee who has been laid off due to COVID-19 and have recently returned to work?
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  • Are you over age 60, or a person of any age with an underlying medical condition that puts you at a higher risk of developing serious health complications from COVID-19?
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  • Do you live with or provide direct care for a vulnerable person?
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  • Do you have children at home who require your direct supervision due to school and/or daycare closings? Note: Only answer YES if there is NO ONE else in the household who can provide care during your jury service.
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    Have you done any of the following in the last 14-days:
  • Traveled internationally:
  • Traveled outside of Kansas:
  • Traveled on a river boat or cruise ship:
  • Step 5 of 5 - Please provide an additional contact method.

    This will be used by the Court for prompt notifications regarding last-minute scheduling changes, inclement weather, etc., that may save you an unnecessary trip to the courthouse.

    Jury Representation Survey

    The following 3 questions will be used for statistical reporting purposes only.

  • Gender

  • Ethnicity

  • Race

    By clicking Submit I certify all information is true and correct.

    Thank you for completing this important first step to determine your qualifications and eligibility to serve as a juror in Johnson County District Court. Please remember the right to a trial by jury is one of our nation’s fundamental rights. It can only be preserved if citizens accept the responsibility of jury service.

    You may return to this website at any time to check on your juror status. You will need the juror number found on the postcard to do so.

This questionnaire will be used by the Judges of the District Court and lawyers/parties during the selection and impaneling of the jury. It is not a public record.