York County SC Homepage

Form Center

The county’s Online Form Center allows you to electronically submit and/or print requests for information and other forms.
By signing in or creating an account, some fields will auto-populate with your information.

DUI Court COVID-19 Questionnaire

  1. Have you been tested for COVID?*
  2. If yes, what was the result?
  3. Have you requested to be tested for COVID and been denied the test?*
  4. Have you been diagnosed with COVID in the 10 days prior to your scheduled date to appear for jury duty?*
  5. If more than 10 days, have your symptoms resolved?
  6. Have you experienced any of the following possible symptoms of COVID, whether or not you were actually diagnosed with COVID? Cough, shortness of breath or difficulty breathing, fever, chills, muscle pain, fatigue, runny nose, nausea, vomiting, diarrhea, sore throat, new loss of taste or smell. *
  7. Have you been in close contact with anyone who has been confirmed as having COVID?*
  8. Are you an "at risk" person? At risk includes persons over 65, persons with a serious chronic medical condition, immunocompromised person, and pregnant women.*
  9. Are you willing to abide by any rules the Court requires regarding safety precautions during trial or outside of the trial?*
  10. Are you willing to wear a face mask at all times in the Courtroom?
  11. Depending on your responses, you may be asked to provide medical documentation. Once you have completed this questionnaire, please sign below.
  12. Electronic Signature Agreement
    By typing my name in the following box and clicking submit button I certify the above statements to be true and correct to the best of my knowledge
  13. Leave This Blank:

  14. This field is not part of the form submission.

Government Websites by CivicPlus®
Arrow Left Arrow Right
Slideshow Left Arrow Slideshow Right Arrow