About this form

This form is used only for CCoE civilian employees who served on jury duty and who were on pay status.

This form is used only for CCoE civilian employees who served on jury duty. WHAT ARE THE CONSEQUENCES IF I DO NOT REIMBURSE THE GOVERNMENT FOR JURY DUTY FEES COLLECTED? Your official time will be reversed from Jury Duty Leave to Annual Leave.

Accepted Payment Methods:

• Bank account (ACH)
• Debit card

With an account you can:

• See the payments you made since you created an account.
• Store payment information so you don't have to re-enter it.
• Copy a form you already submitted the next time you need to make a payment.

To take advantage of these benefits, you can Sign In . If you don't have an existing account, you will have the option to create an account on the sign-in page. To continue as a guest user, click the 'Continue to the Form' button.