Juror excusal request form 2026

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  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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Only individuals who are legally exempt or disqualified can be excused from jury service, they include: Convicted Felons. Non-Residents. Non-Citizens. Active Duty Military. Full Time Students. Non-accommodating Medical Conditions.
You should be able to contact the jury management office or the clerk of courts and see if theres a way to postpone or be excused due to hardship cases. If they dont allow that, then you likely will have to wait to see what happens in jury selection and make your case there.
For example, write something like My name is Jane Doe. On (date), I received a jury summons for (court date) at (court address) and was assigned the juror number (insert number here). I am writing to request to be excused from jury service because being absent from work would pose an extreme financial hardship.

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