Home Courts By County Cheyenne County Jury Information Cheyenne County Courthouse
Home Courts By County Cheyenne County Jury Information Cheyenne County Courthouse
Cheyenne County Courthouse
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Disqualification Request - Cheyenne County Courthouse


STOP!- In order to qualify for a disqualification, you must meet one of the following criteria listed below. If you do NOT meet one of these criteria, you may apply for a postponement only.

Reason for Disqualification I am not a Citizen of the United States.







I am not Eighteen years of age or older.

* NOTE: You must submit a birth certificate or state issued id via fax, mail, or email in order to be excused.

I am not presently residing in the county for which I have been Summoned and do not expect to return within 12 months.

NOTE: If you will return within 12 months, please use the postponement form above.
* Please use the address fields below to update us with your current address and county information.

Check this box, if you no longer live in the United States.

The address you have is correct, but I do not reside in the county for which I have been summoned.

* Please use the address fields below to update us with your current address and county information.

Check this box, if you no longer live in the United States.

Inability to read, speak and understand the English language.




* Notarized Document of inability to speak, read or understand English is required.

I am currently serving as a juror OR I have served as a selected juror within the preceeding twelve months.

* You must submit a [document] via fax, mail, or email in order to be excused.

I have a serious physical or mental illness and would like to be excused.

* You must submit a doctor's statement via fax, mail, or email in order to be excused.

I have the sole responsibility for the daily care of a permanently disabled person living in the same household and do not work outside the home.

* You must submit a doctor's statement via fax, mail, or email in order to be excused.









View a sample jury summons


View a sample jury summons


















I live outside the United States.     This is a new address.

















By checking this box, I hereby certify under penalty of perjury that the above information is true and correct.

Reporting Location
51 S. 1st St.
Cheyenne Wells CO 80810
Directions/Map

Jury Line: 719-767-5649
Jury Fax: 719-767-5671

Picture for Cheyenne County Courthouse
Jury Commissioner
Vicki Allen
719-767-5649
cheyennejury@judicial.state.co.us
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