J-2, r. 2 - Order number 1890 of the Minister of Justice and Attorney General concerning the Application for exemption or disqualification from jury duty or for postponement of jury duty to a later session

Updated to 1 September 2012

This document has official status.

chapter J-2, r. 2

Order number 1890 of the Minister of Justice and Attorney General concerning the Application for exemption or disqualification from jury duty or for postponement of jury duty to a later session

Jurors Act

(chapter J-2, s. 28) .

SCHEDULE

Jury list number: __________ Given name(s) and surname of prospective juror:

Prospective juror number: __________ ________________________________________

APPLICATION FOR EXEMPTION OR DISQUALIFICATION FROM JURY DUTY OR FOR POSTPONEMENT OF JURY DUTY TO A LATER SESSION

I, the undersigned, having been duly sworn, apply for

□ disqualification from jury duty;

□ exemption from jury duty during the current session; or

□ postponement of jury duty to a later session

on the following grounds (specify the reasons for the disqualification, exemption or postponement)

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

_________________________________________ ________________________________________

Date SIGNATURE OF THE PROSPECTIVE JUROR

 

□ Sworn                                       _____________________________________
                                             |           IMPORTANT NOTICE          |
                                             |                                     |
                                             | THIS APPLICATION MUST BE MADE BY    |
                                             | CERTIFIED OR REGISTERED MAIL        |
At____(city or town), on ____(date of oath)  | WITHIN 20 DAYS OF  RECEIVING THIS   |
                                             | SUMMONS. PLEASE ATTACH ANY          |
_________________________________________    | NECESSARY SUPPORTING DOCUMENTS      |
Name and qualification of person             | SUCH AS A DETAILED MEDICAL          |
authorized to administer oaths               | CERTIFICATE OR A BIRTH CERTIFICATE. |
                                             |_____________________________________|

M.O. 1890.

REFERENCES

M.O. 1890, 2000 G.O. 2, 1374