You can open the Jury Duty Excusal Letter Template in multiple formats, including PDF, Word, and Google Docs.
Jury Duty Excusal Letter Template Printable | Editable FormSample
Examples
[Juror’s Name]
[Juror’s Address]
[City, State, Zip Code]
[Date]
Request for Jury Duty Excusal
I am writing to formally request an excusal from jury duty scheduled for [Date] due to [specific reason – e.g., a medical condition, personal hardship, prior commitments, etc.].
[Provide a detailed explanation of the reason for the request. Include any relevant documentation, such as a doctor’s note or evidence of commitments, if applicable.]
Serving on jury duty at this time would cause significant challenges, including [mention any implications this may have on work, health, or personal life].
If possible, I kindly request to be rescheduled for jury duty to a later date, preferably after [suggest a timeframe]. This would allow me to fulfill my civic duty without the undue stress caused by my current situation.
Thank you for considering my request. I appreciate your attention to this matter and look forward to your understanding response.
Sincerely,
[Juror’s Signature (if sending a hard copy)]
[Juror’s Name]
[Juror’s Phone Number]
[Juror’s Email Address]
[Juror’s Name]
[Juror’s Address]
[City, State, Zip Code]
[Date]
Request to be Excused from Jury Duty
I hope this message finds you well. I am reaching out to request an official excusal from jury duty set for [Date] due to [specific reason].
Unfortunately, [provide detailed context explaining your situation, including any necessary details]. I have attached relevant documentation, such as [medical certificates, letters from employers, etc.], to support my request.
Attending jury duty at this time would create difficulties, including [list any specific impacts, such as work obligations, family responsibilities, etc.].
If it’s possible, I would greatly appreciate being rescheduled for a later date when my situation allows me to serve without such complications. My availability is after [suggest a timeframe].
I appreciate your understanding and consideration of my circumstances. Please let me know if any further information or documentation is required.
Best regards,
[Juror’s Signature (if sending a hard copy)]
[Juror’s Name]
[Juror’s Phone Number]
[Juror’s Email Address]
Format
Please complete the form below to create the Jury Duty Excusal Letter Template. All fields must be filled out to ensure a clear and complete letter. We provide examples to guide you through each step. Jury Duty Excusal Letter Template 1. Your Information 2. Court Information 3. Jury Duty Details 4. Reason for Requesting Excusal 5. Supporting Documentation 6. Additional Comments 7. Declaration of Truth 8. Signatures
PDF
WORD
Google Docs
Jury Duty Excusal Letter Template Printable | Editable FormPrintable
