I will attend jury service form

Thank you very much for your commitment to jury service.

Simply complete this form so we have the correct contact details to pay your jury fees and reimburse you for travel or childcare costs.

Please complete all fields with an *.

Jury service details

Attendance date * This will usually be a Monday but maybe later in the week.

Jury reference number * Find this at the top right hand corner of your Jury Summons. It will be 4-6 digits long.

Your details

First name *

Last name *

Date of birth *

Phone number (include area code/prefix) *

Email address *

Address *

My address on the summons is correct
My address has changed

Street address

City

Postal code

Claiming expenses

Please tell us about your expenses.

You will be asked to complete an expense claim form at court and may be asked for proof of some expenses.

Find out more about the expenses we can help you with

Note: If you plan to claim taxi costs you need to contact us for prior approval.

I may be claiming childcare expenses.

I will attend by public transport.

I will attend by private motor vehicle.

I may be claiming parking expenses.

- I live approximately kms from the court.

Google maps.

Bank Account *

We will put your juror fees, travel costs and childcare costs directly into your bank account. If your bank account number ends with a 2 digit suffix, please add a zero to the front. For example, if your suffix is 21, enter 021.

Declaration

By ticking this box I confirm that the information given is true and correct. *