Form 4-602D NMRA
Form 4-602D. Juror questionnaire privacy and destruction certification.
[For use with Rules 1-047, 2-603, 3-603]
STATE OF NEW MEXICO
______________________________ COUNTY
______________________________ COURT
________________________________________, Plaintiff,
v.
No. __________
________________________________________, Defendant.
JUROR QUESTIONNAIRE
PRIVACY AND DESTRUCTION CERTIFICATION
I, ___________________________, certify and affirm under penalty of perjury under
the laws of the State of New Mexico that I have complied with the confidentiality and
destruction requirements in Rule [1-047(C)] [2-603(G)] [3-603(G)] NMRA.
_____________________________________________________
Signature of person making certification and affirmation
_________________________________________________________
Printed name of person making certification and affirmation