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JUROR - REQUEST TO BE EXCUSED FROM JURY DUTY

  1. REQUEST TO BE EXCUSED FROM JURY SERVICE
  2. Please select one of the following:*
  3. You can only be excused from jury duty for:

    • Medical reasons
    • Public necessity
    • Undue hardship
    • Dependent care
    • Student Status
    • Military conflict
    • Other reason deemed sufficient by the court

    For more information please go to the court's website by clicking the link below.  Thank you.

  4. Please provide a letter from employer, doctor or other supporting documentation as to why you are unable to fulfill your Jury obligation:
  5. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  6. COURT RESPONSE

    Thank you for contacting the court, the jury clerk will respond via email in 5-10 business days or before your jury term.


  7. Leave This Blank:

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