State your name, juror number, court date, and address. Directions: You must report for jury service unless you: (1) claim an exemption; (2) are disqualified; or (3) choose to postpone your service.Were you selected for possible jury service and looking to fill out your juror qualification questionnaire online? The duration of this serious medical condition is (please select one):. ____ Permanent; jury service in the future will not be possible. When requesting an excuse from jury duty in Texas, you should be honest and provide a valid reason. I am 65 years of age or older and request to be excused from jury duty. If claiming this exemption, please provide birth date: 3. When requesting an excuse from jury duty in Texas, you should be honest and provide a valid reason. Fill out your Juror Information Form and Supplemental Questionnaire online.