Jury Parking Reimbursement

Posted: April 14, 2021

Parking receipts must be submitted no later than 11 am the day after you report.
Ex. A juror reporting on March 1st must submit parking by 11 am on March 2nd

*** This form should NOT be used to submit parking tickets. ***
Call the jury office if you received a parking ticket.

Participant Number

Name *

Date You Appeared For Jury Duty *

Month

Day

Year

Amount You Paid for Parking On The Date You Entered Above * $

Location of Parking *

Garage

Street

Other

Explanation *

Type of Receipt I Received *

Paper

Electronic

I did not receive a receipt

Certification (must choose one) *

I certify that I received a receipt for parking in connection with my jury service and the details entered above are accurate.

I certify that I did not receive a receipt for parking in connection with my jury service, but I did pay for parking and the details entered above are accurate.

District of New Hampshire

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Jury Parking Reimbursement