Get Medical Excuse Request - Ncmd Uscourts

Filling out the MEDICAL EXCUSE REQUEST is a crucial step for individuals seeking to be excused from jury duty due to medical reasons. This guide provides clear and supportive instructions on how to accurately complete the form online.

Follow the steps to properly complete your Medical Excuse Request form.

1. Use the ‘Get Form’ button to access the Medical Excuse Request form and open it in your online editing tool.
2. Begin by entering your personal information in the designated fields. This includes your name as a juror or prospective juror and your 9-digit bar code participant number, both of which are required.
3. Indicate the reason for your request. Check the appropriate box that relates to your situation, such as 'Health or Medical' or 'Other'. If you select 'Other', be prepared to provide an explanation in the medical statement section or in a separate letter.
4. In the medical statement section, ensure your medical provider details your condition. This statement should clearly explain why you need an excuse, specify the days or dates you require off, and indicate when you may be able to serve in the future.
5. Remind your medical provider to sign and print their name, as well as include their office information. Avoid using blurred or illegible writing, as it may lead to automatic denial of your request.
6. Ensure that your completed document is ready for submission. Once verified for accuracy, you can save any changes, download, print, or share the form as needed.

Submit your Medical Excuse Request online to ensure a timely processing of your request.