If you have served as a juror in a New York State or Federal Court within the past six years, please submit your completed questionnaire or juror summons. A) Fill in the caption, index number and each blank on the form.Make sure that your answers are accurate, complete and legible. Intheblanks form required for any matter originating and electronically filed in Supreme or Surrogate's Courts in Richmond County. The People's withdrawal of their case from the first grand jury presentation due to witness unavailability constituted the functional equivalent of a dismissal. You can complete the Juror Qualification Questionnaire on-line or you can complete the form, sign it, and return it in the business reply envelope. For help figuring out how the rules apply to your individual circumstances, you can use the chart "Who Pays Your Jury Fee? Criminal Procedure Law §440.10 is the vehicle through which off-record information can be brought to the court's attention in an attempt to vacate the judgment. When completing the "Statement of Claim" form the Claimant must explain the reason for the lawsuit and include the amount in dispute. You will be mailed a summons form with a date to report and a qualification questionnaire to complete and return within ten (10) days to the Court.