AO 205

Summons to Appear to Complete Juror Qualification Form

Agency
U.S. Courts
Revision
Rev. 08/09
Fillable fields
11
Pages
1
Official source
U.S. Courts form page
Checked
October 20, 2026
Fill AO 205 online
Page 1 of form AO 205

AO 205: Summons to Appear to Complete Juror Qualification Form

AO 205, Summons to Appear to Complete Juror Qualification Form, is a summons a United States District Court sends to a person who, according to the records of the court, did not complete and return the juror qualification form mailed earlier. The U.S. Courts page lists it under Jury Forms, effective on August 1, 2009, and the PDF is dated Rev. 08/09.

The one-page summons cites section 1864(a) of title 28, United States Code, which it says requires the qualification form to be completed within 10 days. It gives a date, time and place to appear and fill out the form, and a note on what may follow if the person does not respond. The clerk or a deputy clerk signs it. The court issues this form; the person summoned does not file it.

This page explains the form in plain words and is not legal advice. You can fill out the PDF free in your browser on this page and download the result without an account.

Top of page 1 of AO 205: Summons to Appear to Complete Juror Qualification Form, as printed by COURTS

What's on AO 205

Caption

AO 205 (Rev. 08/09), United States District Court for the named district, and the title Summons to Appear to Complete Juror Qualification Form.

The summons

It says the person failed to complete and return the juror qualification form, that section 1864(a) of title 28 requires completion within 10 days, and that the person is summoned to appear to fill it out.

Date, time and place

Three boxes give the date, time and place where the person is summoned to appear.

Note on not responding

The note says a failure to show good cause may result in a $1,000 fine, imprisonment for not more than three days, an order to perform community service, or any combination, as provided by section 1864(b) of title 28.

Clerk's signature

Lines for the Clerk, the (By) Deputy Clerk and the Date.

How AO 205 is filled out

  1. 1

    Name the district

    The court fills in the district after United States District Court for the.

  2. 2

    Set the date, time and place

    The court enters when and where the person is to appear to fill out the juror qualification form.

  3. 3

    The clerk signs and dates

    The clerk, or a deputy clerk, signs and dates the summons.

  4. 4

    The summons is sent

    The summons tells the person they are summoned to appear at the date, time and place given for the purpose of filling out the juror qualification form.

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Where to appear, fees and the law it cites

Where to appear

At the date, time and place the court fills in on the summons. The blank form does not print a location.

Fees

The form does not print a fee. The $1,000 on it is a possible fine listed in the note.

The 10-day rule it cites

The summons says completion of the juror qualification form within 10 days is required by section 1864(a) of title 28, United States Code.

Not responding

The note says a judge may order the person to appear and show cause, and a failure to show good cause may result in the penalties provided by section 1864(b) of title 28.

Who uses AO 205?

  • The clerk of court

    The form is signed on the Clerk line, or by a deputy clerk on the (By) Deputy Clerk line, and dated.

  • The person summoned

    The summons goes to a person who, according to the records of the court, did not complete and return the juror qualification form mailed to them. The form has no signature line for that person.

  • A judge of the court

    The note says that if the person does not respond, a judge of the court may issue an order to appear before the court and show cause for not complying.

  • The district court

    The caption reads United States District Court for the district, which the court fills in.

AO 205 is issued by a United States District Court. The form names these people.

Official sources and the blank

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Questions about Form AO 205

Who sends AO 205?

A United States District Court. The summons is signed by the clerk or a deputy clerk and dated.

Why would someone receive AO 205?

The summons says that, according to the records of the court, the person failed to complete and return the juror qualification form previously mailed to them.

Does the person summoned fill out AO 205?

No. The court fills in the district, date, time and place and the clerk signs it. The summons asks the person to appear and fill out the juror qualification form.

What time limit does AO 205 mention?

It says the completion of the juror qualification form within 10 days is required by section 1864(a) of title 28, United States Code.

What does the form say happens if someone does not respond?

The note says a judge may issue an order to appear before the court and show cause. A failure to show good cause may result in a $1,000 fine, imprisonment for not more than three days, an order to perform community service, or any combination, as provided by section 1864(b) of title 28.

Is this page legal advice?

No. This page explains what the summons prints in plain words.