• Lassen County Civil Grand Jury Questionnaire 2026

    Lassen County Civil Grand Jury Questionnaire 2026

    Screening questionnaire for applicants to the Lassen County Civil Grand Jury for the 2026–2027 term. Complete all questions and sign the declaration.

  • Contact Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Eligibility and Basic Qualifications

    Please answer the following questions, which will determine your eligibility under Penal Code section 893 to serve as a grand juror:
  • Are you a United States citizen?*
  • Do you read and understand English?*
  • Are you currently an elected or appointed public official or county employee?*
  • Have you ever been convicted of malfeasance or a felony?*

  • Employment, Residency, and Prior Service

  • Have you ever been suspended, disbarred, or removed from any public office or profession?*
  • Are you or is any adult member of your immediate household related to, an employee of, or a volunteer for any elected or appointed public official in this county?*
  • Have you ever served on a civil or criminal grand jury in any county in California?*
  • When did you complete your prior grand jury service?*
     - -

  • Availability, Commitment, and Accommodation

  • Do you plan to be absent from the county for more than two weeks from July 1, 2026, to June 30, 2027?*
  • Anticipated departure date
     - -
  • Anticipated return date
     - -

  • Oath/Affirmation Pertaining to the Question Below

    “I do solemnly swear (affirm) that I will support the Constitution of the United States and of the State of California, and all laws made pursuant to and in conformity therewith, will diligently inquire into, and true presentment make, of all public offenses against the people of this state, committed or triable within this county, of which the grand jury shall have or can obtain legal evidence. Further, I will not disclose any evidence brought before the grand jury, nor anything which I or any other grand juror may say, nor the manner in which I or any other grand juror may have voted on any matter before the grand jury. I will keep the charge that will be given to me by the court.”

  • If selected as a grand juror, Penal Code section 911 requires you to take the above oath or affirmation. Are you willing to take that oath or affirmation?*
  • If employed, have you advised your employer and verified that they will permit your participation as a full-time member for the entire one-year period?*

  • Participation on the Civil Grand Jury is strictly voluntary. Your employer is not obligated to provide you with the time or pay your salary to participate as a member of the Civil Grand Jury.

  • Are you willing to serve as a grand juror?*
  • Specifically, are you willing to investigate and report on the operations, accounts, and records of the officers, departments, or functions of the county or any incorporated city or joint powers agency located in the county?*

  • Certification and Signature

  • Date Signed*
     - -
  • Should be Empty: