Arkansas Juror Questionnaire

JUROR # (found on summons)*

LAST NAME*

SELECT COUNTY Arkansas Northern Arkansas Southern Ashley Benton Boone Calhoun Carroll Eastern Carroll Western Clark Cleveland Columbia Crawford Cross Desha Franklin Greene Hempstead Hot Spring Howard Independence Jackson Johnson Lafayette Lincoln Little River Madison Miller Mississippi North Mississippi South Montgomery Ouachita Phillips Pike Polk Pope Randolph Saline Sevier TEST Union Washington White Woodruff COUNTY ON SUMMONS*