As of December 8, 2025, a new Jury Management Digital Service for Edmonton is available at jury.alberta.ca .

Cliquez ici pour afficher la version française du Formulaire de réponse à l'assignation de juré

You must call the number on your "Important Information Form" after 2:00PM on the day before the jury selection date appearing on your summons.  A recorded message will let you know if you are required to attend jury selection.

Jury Summons Response Form

For assistance completing the following Jury Summons Response form, please refer to the following links:

Juror Summons Form - front of page
Juror Summons Form - back of page

An exemption may be applied for by EITHER
   a) completing and returning the jury summons which was mailed to you to by the Clerk's Office or
   b) using the form below. 

Please do not submit the form both ways.

Jury Selection Date:
Select Year
Report Time
Please Note: For selections in Edmonton, please visit jury.alberta.ca.
Do you speak, understand, and read:


Section A - Qualifications of Jurors

Please refer to Section A on the back of the Jury Summons.
Are you a resident of Alberta?
Are you 18 years of age or older?
Are you a Canadian citizen?

Section B - Exclusion From Jury Service

Please refer to Section B on the back of the Jury Summons.
Are you asking to be excluded from jury service?
If Yes


















Section C - Exemption From Jury Service

Please refer to Section C on the back of the Jury Summons.
Are you asking to be exempted from service based on any of the following?
If Yes







Reimbursement for Expenses:

Please note if you attend jury selection you may be eligible for reimbursements that would align with the Jury Act Regulation and the Travel Meals and Hospitality Expenses Policy.  

For more information, visit www.alberta.ca/jury-duty

Confirmation

By submitting this form, you certify that you are the person named in the Juror Summons, or you are authorized to respond on their behalf, and that the information submitted is true and correct to the best of your knowledge.

You should receive a copy of your notice by e-mail within 24 hours.

Note:  All successfully submitted Jury Summons Response forms will generate an automated CONFIRMATION email, sent to the Applicant's email address as entered on this form.  If you do not receive a confirmation email, your form may not have been received. 

Please also ensure you are using a modern up-to-date web browser, such as Edge or Chrome, and DO NOT "copy and paste" information into any of the fields in this form. Please only submit this form once.