Juror excusal request form 2026

1. Click ‘Get Form’ to open the juror excusal request form in the editor.
2. Begin by entering your name and juror number in the designated fields at the top of the form.
3. Fill in the date of your request. Ensure this is completed accurately as it is crucial for processing.
4. Review the instructions carefully. Remember, requests must be submitted at least 5 working days prior to your reporting date.
5. In the disqualifications and exemptions sections, check 'Yes' for any applicable reasons or provide a brief explanation for your excusal request.
6. In the final section, briefly describe your reason for requesting an excusal from jury duty.
7. Sign and date the form, ensuring all information is accurate before submission.
8. Submit your completed form electronically via email to jurysantarosaclerk@flcjn.net for confirmation of receipt.

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