The Affidavit for Permanent Medical Exemption is the sworn request a prospective juror in Hunt County, Texas, makes to be excused from jury service because of a physical or mental impairment, or an inability to comprehend or communicate the English language. It is returned to the Hunt County District Clerk's Office, which submits it to the court, and a physician's statement goes with it when the reason is an impairment. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the official PDF is published by Hunt County.
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What is Affidavit for Permanent Medical Exemption – Hunt County, TX?
The Affidavit for Permanent Medical Exemption is the Hunt County form, printed as "Affidavit for Permanent Exemption from Jury Service for Physical or Mental Impairment or the Inability to Comprehend or Communicate the English Language," on which a prospective juror asks to be excused from jury service under oath.
The form rests on Texas Government Code Section 62.109. Under that section, a district court judge may, by order, exempt a person permanently or for a specified period from serving as a juror in all the county and district courts in the county. The person must have a physical or mental impairment, or an inability to comprehend or communicate in English, that makes jury service impossible or very difficult.
The affidavit alone does not excuse anyone. The form states that the exemption may only be granted by court order, once the court has received the affidavit and, for an impairment, the physician's statement. The affidavit states the person's name and address and the reason for and duration of the exemption: the form has boxes for PERMANENT or TEMPORARY.
The form has four parts: the juror's identifying details and the reason for the request, the affiant's statement with the name and address of the attending physician, an oath block, and a jurat completed before a Notary Public or the District Clerk. It is a jury-service document and has nothing to do with Hunt County tax or property records.
Who needs to file Affidavit for Permanent Medical Exemption – Hunt County, TX?
Prospective jurors in Hunt County who have a physical or mental impairment, or who cannot comprehend or communicate in the English language, and for whom that makes jury service impossible or very difficult, use this affidavit to ask the court for an exemption.
- Impairment cases: a person requesting an exemption because of a physical or mental impairment must attach a statement from a physician. The form asks for the name and address of the person's attending physician.
- English-language cases: the statute attaches the physician's statement requirement to impairment requests only. The affidavit still states the reason and the duration.
- Permanent or temporary: you check one box on the form. The statute allows an exemption permanently or for a specified period.
The form is worded so that an affiant requests that the named person be excused, and the oath block has a line for the affiant's name. The exemption covers service in all the county and district courts in the county. The form does not describe who else may act for the juror, so the court or the District Clerk's Office is the place to ask about representatives.
When to file Affidavit for Permanent Medical Exemption – Hunt County, TX
There is no deadline on this form. Under the Government Code text printed on it, the affidavit and the physician's statement may be submitted to the court when you are summoned for jury service or at any other time.
Because the affidavit asks for your juror number and your address as shown on the summons, people who have received a summons usually file it with that summons in hand. The exemption takes effect only when a judge grants it by court order, so the form sets no date by which you will hear back. You choose on the form whether you want a permanent or a temporary exemption, and the judge may grant it permanently or for a specified period.
Documents you need
- A statement from a physician, attached to the affidavit, when you request the exemption because of a physical or mental impairment. The form also asks for the physician's name, address, city, state and ZIP.
How to fill out Affidavit for Permanent Medical Exemption – Hunt County, TX
Enter your name and juror number
Write your full name on the Name line and the number from your summons on the Juror No. line.
Enter address and date of birth
Write your address exactly as shown on the summons, then your Date of Birth.
Add email address and phone
Fill in the E-mail address and Phone lines so the court can contact you.
Check permanent or temporary
Under Exemption requested, check one box: PERMANENT or TEMPORARY.
State the reason for the request
On the Reason for requested exemption lines, describe the physical or mental impairment, or the inability to comprehend or communicate English, that makes jury service impossible or very difficult.
Sign as the affiant
Sign on the Affiant line below the statement asking that the named person be excused from jury service in Hunt County.
Identify the attending physician
Enter the physician's name and address, including city, state and ZIP, where the form asks for the named person's attending physician.
Complete the oath block
In the STATE OF TEXAS, COUNTY OF HUNT section, print your name on the "I, ___" line and sign as affiant before a Notary Public or the District Clerk, who completes the day, month and year of the jurat.
Review, download and add the physician's statement
Check that every line matches your summons, then download or print the completed PDF from FillingPDF. Attach the physician's statement if your request is for an impairment, and return the package as described under How to submit.
How to submit Affidavit for Permanent Medical Exemption – Hunt County, TX
The form tells you to complete the affidavit, obtain a statement from your physician and return both to the Hunt County District Clerk's Office, which submits them to the court.
- By mail: Hunt County District Clerk, P.O. Box 1437, Greenville, Texas 75403-01437. The address is printed at the foot of the form exactly this way.
- Contact by email: the form prints [email protected] for the District Clerk. It names no other submission channel.
Before you return it, the oath block must be sworn and subscribed before a Notary Public or the District Clerk, so do not sign that section in advance. Attach the physician's statement if the request is for a physical or mental impairment. The exemption is granted only by court order. FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Sending the affidavit for a physical or mental impairment without the attached physician's statement, which the statute requires with that kind of request.
- Signing the oath block before meeting a Notary Public or the District Clerk; the jurat reads "sworn to and subscribed before me."
- Checking both PERMANENT and TEMPORARY, or neither, instead of one box.
- Leaving out the reason for the request or its duration; the statute says the affidavit states both.
- Writing an address different from the one on the jury summons; the form asks for the address as shown on the summons.
- Leaving out the juror number printed on the summons.
- Returning the form anywhere other than the Hunt County District Clerk's Office, which the form names for submission to the court.
- Treating the affidavit as an automatic excuse; the form says the exemption may only be granted by court order.
Frequently asked questions
What is the Affidavit for Permanent Medical Exemption?
It is a Hunt County form on which a prospective juror swears to the reason for requesting exemption from jury service. It is based on Texas Government Code Section 62.109 and covers a physical or mental impairment, or an inability to comprehend or communicate in English.
Do I need a doctor's statement with this affidavit?
Yes, if your request is for a physical or mental impairment. The statute printed on the form requires you to attach a statement from a physician. The form also asks for your attending physician's name and address.
Who decides whether I am excused from jury service?
A district court judge decides, by court order. The form states that an exemption may only be granted by court order once the court has the affidavit and, for an impairment, the physician's statement.
Can I submit the jury exemption affidavit after I get my summons?
Yes. The statute printed on the form says the affidavit and physician's statement may be submitted when you are summoned for jury service or at any other time. The form prints no separate deadline.
Where do I send the Hunt County jury exemption affidavit?
Return it to the Hunt County District Clerk's Office, which submits it to the court. The form prints the address as Hunt County District Clerk, P.O. Box 1437, Greenville, Texas 75403-01437, and the email [email protected].
Does the affidavit have to be notarized?
The oath block is sworn to and subscribed before a Notary Public or the District Clerk, so it must be completed before one of them. Do not sign that section until you are in front of that person.
What is the difference between a permanent and a temporary exemption on this form?
You check one box, PERMANENT or TEMPORARY, to say how long you want to be excused. The statute lets the judge grant an exemption permanently or for a specified period, and the affidavit must state the duration you request.
Is this a Hunt County property tax form?
No. It is a jury-service affidavit returned to the Hunt County District Clerk's Office. If you searched for Hunt County property tax, this form does not apply to that subject.
Can I fill out this affidavit online on FillingPDF?
You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is independent of Hunt County and does not file the form; you sign it before a notary or the District Clerk and return it through the channels on the form.
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