JUROR DATA SHEET (for in-house use only)
Juror #:_____ Foreman?:___ [Or Alternate #:____ ] Post Trial Interview Conducted: ___/___/___ By:___________ |
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Photo available (staple to top of sheet) |
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General Info: |
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Full Name: SSN: DOB:___/___/___ |
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Address: Apt/Ste |
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City: St: Zip: -- Own/Rnt/Rsd Yrs: |
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Phone: Cell Phone: |
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E-Mail: Personal Website: |
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Facebook Instagram YouTube Twitter Blog Other: ( Monitored for trial postings) |
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Employment: |
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Place of Employment: Supervisor: |
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Address: Title: |
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City: St: Zip: -- Website: |
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Phone: - x Fax: E-Mail |
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Nature of work: |
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Previous Place of Employment: Supervisor: |
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Nature of work: |
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Address: Title: |
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City: St: Zip: -- Website: |
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Phone: Fax: E-Mail: |
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Education: |
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Education: From:___/__ /___to __/___/___ FT/PT Status/Degree: |
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School: Major: |
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Contact : Advisor: |
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Address: Suite.: County: |
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City: St: Zip: - Website: |
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Phone: Pager: ICQ/UIN: |
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Cell Phone: Fax: E-Mail: |
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Notes: |
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General Notes: |
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Jury Consultant Notes: |
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Our decision on this juror: Accept Dismiss Full “Subject Data File” Started and/or background check performed. |
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All connections or relationships to opposing client, judge, or opposing counsel checked and verified Criminal & Civil Histories Listed |
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Document Ctrl # |
Filename: |
JUROR DATA SHEET: NAME:______________________________