I will attend jury service form

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 *.

Court name *

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.

First name *

Last name *

Date of birth *

Phone number (include area code/prefix) *

Email address *

Address *

Street address

City

Postal code

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.

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 pay juror fees and expenses into this account.

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

Captcha