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Online Excuse Form

Jury Duty Affidavit

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Judge M. James 
   Chaney, Jr.
P. O. Box 351 Vicksburg, MS 
39181

601-638-8981
FAX: 601-630-8033

 

 

Jury Summons Online
Excuse Affidavit
    

If you claim an exemption because of illness to yourself or illness to another who would require your attendance, please complete the online affidavit below and e-mail the doctor’s excuse to the Court Administrator immediately. You will receive an e-mail confirmation as to whether you are excused.

When the excuse is claimed because your attendance is required due to illness of another, every effort should be made to have someone else attend the person so that you can serve on jury duty.  

If your attendance would cause serious financial loss to yourself or your business, please e-mail the affidavit explaining this to the Court Administrator immediately. It will not be necessary for you to call the Court Administrator or the Clerk. You will receive an e-mail as to whether you are excused. If you are not notified that you are
excused, then you are expected to appear at the time indicated on your summons or as per recorded instructions.

If you are over 65 years of age or have served on the jury panel in the Circuit Court in the actual trial within two (2) years and do not wish to serve, so state on the affidavit and e-mail the Court Administrator immediately.It will not be necessary that you appear for duty. You may serve if you desire. If there is a deficiency of jurors, you may be notified to appear.  

If you claim any other excuse because of emergency or hardship to yourself, please state your reasons on the affidavit and e-mail the Court Administrator immediately. You will receive an e-mail as to whether you are excused. If you are not notified that you are excused, then you are expected to appear at the time indicated on your summons or as per recorded instructions.

Names are randomly selected from the Warren County voter rolls.If you are no longer a resident of Warren County and have received a jury summons, you will need to contact the Circuit Clerk’s office to have your name removed from the voter roll. Also, please complete the affidavit and e-mail it to the Court Administrator immediately. You do not need to appear for duty.

AFFIDAVIT

STATE OF MISSISSIPPI

I, first being duly sworn, state that I have been summoned for jury
duty before the Circuit Court of the County listed below on the date
shown and that I do not wish to serve for the reasons indicated.

By submitting this form, you hereby swear or affirm to the Circuit Court
that the matters and facts set forth above are true and correct to the
best of your knowledge.