R. B. ”CHIPS” SHORE, CLERK OF CIRCUIT COURT P.O. BOX 25400 BRADENTON, FL 34206 JURY SUMMONS By order of the Circuit and County Courts of the TWELFTH CIRCUIT, MANATEE COUNTY, you are hereby summoned to appear for jury service at the date, time, and place shown. Place: Manatee County Courthouse 1115 Manatee Ave. West 2nd Floor-Assembly Room Bradenton, FL 34205 Report: Date: Time: THE LAW PROVIDES PENALTIES FOR FAILURE TO ATTEND. PLEASE COMPLETE AND BRING THIS FORM WITH YOU. COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. R.B. “CHIPS” SHORE : JUROR NO.: Index No. CLERK OF THE CIRCUIT COURT NAME: : : Plaintiff(s) -against- Calendar No. JUDICIAL SUBPOENA : COMPENSATION - PLEASE SEE #5 ON REVERSE SIDE, THEN COMPLETE THE FOLLOWING: : ___ I am unemployed or not regularly employed; therefore, I request compensation. ___ I am regularly employed, but my employer does not pay my regular wages while I am serving as a juror; therefore, I request compensation. : ___ I receive regular wages, and I am not entitled to receive compensation. Defendant(s) : ...................................................... SEE ADDITIONAL JUROR INFORMATION ON BACK. DETACH ONLY IF REQUESTING EXCUSAL OR POSTPONEMENT. Signature Date THE PEOPLE OF THE STATE OF NEW YORK A. REQUEST FOR EXCUSAL OR POSTPONEMENT TO IF YOU CLAIM AN OPTIONAL EXEMPTION OR MANDATORY DISQUALIFICATION LISTED BELOW, YOU WILL BE EXCUSED UNLESS OTHERWISE NOTIFIED. OPTIONAL - EXEMPTION GREETINGS: MANDATORY - DISQUALIFIED WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before ___ Expectant mother ___ Convicted felon, civil rights not restored , the Honorable the ___ Parent not employed full time and who has custody of aof ___ Underatprosecution forCourt a crime located at County child under 6 years of age ___ No longer resides in Manatee County noon, and at any recessed in room , on the day of , 20 , at o'clock in the ___ Person 70 years of age or older ___ Not a citizen of the United States or adjourned date, to testify and give evidence as a witness in this action on the part of the ___ Full Time Law Enforcement Officer ___ Not a legal resident of this state ___ Any person that is responsible for the care of a person who, and Manatee County because of mental illness, mental retardation, senility, or other Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to physical or mental incapacity is incapable of caring for himself the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a ___ Reported for Jury Duty within one year result of your failure to comply. B. EXTRAORDINARY REQUEST FOR EXCUSAL OR POSTPONEMENT Witness, Honorable Courtless than seven (7) working days in County, day of received no , one of the Justices of the to, 20 your All requests for excusal / postponement must be prior reporting date. A representative from jury services will notify you if your request is being denied. If you are not contacted, your request is being granted. MAIL ALL REQUESTS FOR “A” OR “B” TO: JURY SERVICES, P.O. BOX 25400, BRADENTON, FL 34206. (Attorney must sign above and type name below) EXTRAORDINARY REQUEST FOR EXCUSAL OR POSTPONEMENT Attorney(s) for Office and P.O. Address JUROR NUMBER: REPORT DATE: Telephone No.: Facsimile No.: THE STATEMENTS ABOVE ARE TRUE TO THE BEST OF MY KNOWLEDGE. SIGNATURE E-Mail Address: Mobile Tel. No.: HOME PHONE WORK PHONE American LegalNet, Inc. www.USCourtForms.com COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : MANATEE COUNTY : JUROR INFORMATION : Index No. Calendar No. JUDICIAL SUBPOENA Plaintiff(s) PLEASE READ YOUR SUMMONS CAREFULLY. THE DATE, TIME AND PLACE TO REPORT ARE PRINTED ON IT, ALONG WITH YOUR JUROR NUMBER. -against: 1. IMPORTANT REPORTING INFORMATION: You must call 748-7407 the night before you are to : report, even if this is a Sunday or holiday. A recorded message will tell you whether you still need to report. IF THE TELEPHONE RECORDING IS NOT OPERATIONAL, REPORT FOR JURY : DUTY AS DIRECTED BY YOUR SUMMONS. Defendant(s) : ...................................................... 2. FOR YOUR INFORMATION: A recorded telephone message provides jurors with general information about jury, service. Call 741-4028 to receive information about excusals, parking, and rescheduling. THE PEOPLE OF THE STATE OF NEW YORK 3. JURY TERM: Your term of service will usually be for one day only or the completion of one trial. Jury trials usually last two to four days. You will only be asked to serve on one trial. HOWEVER: If TO selected, you may serve for a longer period of time. FREE PARKING: Your juror identification is located in your packet, just place it on the dashboard 4. GREETINGS: car. The following locations are the only parking lots where this identification is valid. Please of your park in the parking garage, 414 10 St. W. spaces 39 through 128 only, (do not back into any space). WE COMMAND YOU, that all business of the following locations. Downtown post office parking before If those spaces are full, please park at one and excuses being laid aside, you and each of you attend , the Honorable Manatee Ave. W., parking lot behind the First Baptist Court 14th St. W. and 4th Ave. Dr. at the lot, 824 Church, located at County ofW., or the City Centre parking lot, 12 St. W. and 3rd Ave. W. For bus schedules call (941) 749-7116. in room , on the day of , 20 , at o'clock in the noon, and at any recessed or5. adjourned date, to testify and give evidence as a40.24, Florida Statutes,on the part of the COMPENSATION: Pursuant to Chapter witness in this action jurors who are regularly employed and who continue to receive regular wages while serving as a juror are not entitled to receive compensation from the state for the first 3 days of juror service. Jurors who are not regularly employed or who do not continue to receive regular wages while serving as a and are make you Your failure to comply with this subpoena is punishable as a contempt of courtjuror will entitled to liable to receive $15 per day for the first 3 days of juror a maximum penalty of $50 more damages sustained as a the party on whose behalf this subpoena was issued for service. All jurors who serveand allthan 3 days will be paid $30 per day for result of your failure to comply. the fourth day of service and each day thereafter, regardless of employment status. Witness, Honorable , one of the Justices of the Regular employment includes full-time employment and part-time, temporary, and casual Court in County, day of , 20 employment as long as the employment hours of a juror can be reasonably determined by a schedule or by custom and practice established during a 3 month period preceding the term of service as a juror. 6. (Attorney must with this act, persons needing AMERICANS WITH DISABILITIES ACT (ADA): In accordance sign above and type name below) a special accommodation should contact the Jury Office not later than seven days prior to the date of service at P.O. Box 25400, Bradenton, FL 34206. Telephone 941-741-4062, 1-800-955-8771 (TDD), OR 1-800-955-8770 (V), via Florida Relay Service. Attorney(s) for 7. ATTIRE: Please use good judgment and dress appropriately. No shorts allowed. Courtrooms are airconditioned, and you may wish to bring a sweater, or light jacket. Office and P.O. Address EXCUSALS: Please refer to the excusal instructions on the other side of this form. Business hardships that may result from jury duty are not grounds for an excuse. The only way to be excused is by following the instructions on the excusal form. Telephone No.: The right to trial by jury is one of the fundamental AmericanFacsimile No.: rights guaranteed by the State and Federal E-Mail Address: Constitutions. It is the duty of every citizen to help preserve this right by serving as a juror when called. Mobile Tel. No.: 8. American LegalNet, Inc. www.USCourtForms.com