Form Center

2. 2026 Change in Residence

   To be excused for the year that you are selected to be a prospective juror, a formal request must be made for excusal consideration. You may complete and submit the Affidavit for Excusal on this page. Paper copies are available upon request. Please contact the Court at (406) 863-2440 or 📧 WhitefishMunicipalCourt@mt.gov for a physical copy of this form.

   To avoid technical difficulties, please use a desktop computer and disable any pop-up blockers.

4. First Name*
5. Last Name*
6. Juror Number*
8. Mailing Address*
9. City*
11. State*
12. Zip Code*
13. Country*
14. Is your physical address different from your mailing address?*

    1. Yes
    2. No
16. Physical Address*
17. City*
19. State/Province*
20. Zip Code/Postal Code*
21. Country*
23. Phone Number*
24. Email Address*
28. The above affiant, being sworn on his/her oath, deposes and says:*

    Affiant is informed of having been called as a prospective trial juror in the Municipal Court of Whitefish, Montana. Affiant is applying for the following excusal and request the Court's review:

    1. CHANGE IN RESIDENCE - Affiant no longer lives within the city limits of Whitefish - proof of change in residence to be provided below.
32. Add supporting documents:*

    ⚠️ Warning: Please do not submit any document containing sensitive personal information such as full date of birth or medical information. This online submission is not inherently secure and any information submitted may be intercepted or disclosed without authorization.

    Accepted file types: PDF, JPEG, PNG only

36. Electronic Signature Agreement*

    By checking the "I agree" box below, you declare under penalty of perjury and the laws of the state of Montana that the foregoing is true and correct.

    1. I agree.
38. Electronic Signature*

    Please type your first and last name.

Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit Submit and Print

* indicates a required field