Form 9-513D NMRA
Form 9-513D. Juror questionnaire privacy and destruction certification.
[For use with Rules 5-606, 6-605, 7-605]
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 [5-606(E)] [6-605(G)] [7-605(G)] NMRA.
_________________________________________________________
Signature of person making certification and affirmation
_________________________________________________________
Printed name of person making certification and affirmation