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2026 Juror Questionnaire
Welcome! You have been selected to serve as a prospective juror for the Whitefish Municipal Court. Please fill out the following questionnaire and submit within ten (10) days of receipt of the notice you have received in your mail.
ℹ️ You can save your progress by creating an account and clicking on 'Save Progress' in the top right corner. Otherwise, please be prepared to complete this form as soon as you begin so that progress does not get lost. You may also want to review our Form Submission Help page to ensure that any possible technical issues are minimized.
Juror Number:*
(Can be found on your jury summons letter or by contacting the Court)
1. First Name:*
Last Name:*
Preferred Prefix/Title:
2. Mailing Address:*
City:*
State:*
Zip Code:*
3. Is your physical address different from your mailing address?*
1. Yes
2. No
Physical Address:*
City:*
State:*
Zip Code:*
4. How long have you resided there?
Number of years in Montana?
5. Phone (Primary):*
Phone (Secondary):
6. Email address:*
No longer in Whitefish?
If you have moved out of the city limits of Whitefish, please skip this form and complete the Affidavit for Excusal for submission.
Otherwise, please click continue below.
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Background

7. Marital Status:
1. Married
2. Single
a. Age:
b. Gender:*
8. Do you have children?
1. Yes
2. No
a. Age(s):
b. Gender(s):
9. What education have you had?
If other:
10. Are you employed at the present?
1. Yes
2. No
a. Occupation:
(If retired, or not working, give last occupation)
b. Employer's name and address:
11. If you are married, name of spouse:
a. Spouse's Occupation:
(If retired, or not working, give last occupation)
b. Spouse's Employer:
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Experience

Agreement

19. In order to be eligible to serve as trial juror, you must be...
- 18 years of age or older
- A resident for at least 30 days of the state and of the city, town, or county in which you are called for jury duty
- A citizen of the United States
- Not convicted of malfeasance in office or any felony or other high crime, the sentence of which has not yet expired or the fine not yet paid
20. Do you feel you should be excused from serving as a juror because of undue hardship or because you do not meet the eligibility requirements for jury service as listed above?*
1. Yes
2. No
By checking 'Yes', you must also complete the Affidavit for Excusal in order to be considered. Failure to complete this form may result in your mandatory appearance as a juror in a jury trial. Please click the following to proceed with your excusal request:
Affidavit for Excusal (Online Form)
If you know you will be gone for a specific period of time, please list those dates here:
PLEASE LIST KNOWN DATES FOR THE YEAR 2026 ONLY.
Electronic Signature Agreement*
I certify that the foregoing statements are true to the best of my knowledge and belief.
1. I agree.
Electronic Signature of Prospective Juror*
Please type your first and last name.
Note:
To save a copy of this form, please enter your email address below and click 'Submit' or 'Submit and Print' to keep for your records. You may also want to review our Form Submission Help (opens in a new window) page to ensure that any possible technical issues are minimized.

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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