Covid-19 Daily Questionnaire

Elmore County Courthouse Juror Covid-19 Questionnaire
Name(Required)
What symptoms, if any, are you currently experiencing? (Check all that apply)
Pursuant to I.C.§ 9-140, I certify or declare under penalty of perjury pursuant to the law of the State of Idaho that the responses are true and correct to the best of my knowledge. I acknowledge that a willful misrepresentation is punishable as a misdemeanor pursuant to I.C. § 2-208(6).(Required)
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.