Get Jurycoordinator Alleghenycourts Us

This guide provides clear and detailed instructions for users on how to fill out the Jurycoordinator Alleghenycourts Us form online. By following these steps, users can efficiently complete the necessary sections to address their medical conditions that may prevent them from serving on a jury.

Follow the steps to accurately complete the form.

1. Click the ‘Get Form’ button to access the form and open it in your browser.
2. In Section One, the prospective juror must enter their full name, juror number, address, and provide their signature along with the date. Make sure all personal information is spelled correctly.
3. In Section Two, the physician needs to fill out their details. They must indicate that they are currently licensed to practice medicine in Pennsylvania and confirm that they have treated or examined the prospective juror.
4. The physician must certify whether the juror's medical condition is temporary or permanent. If it is temporary, they should specify the required recovery time by choosing one of the options provided.
5. The physician should fill in their name, telephone number, and Pennsylvania doctor license number. Finally, they must sign the form and provide the date of signing.
6. Once both sections are completed, save your changes to the form. You may then choose to download, print, or share the completed form as necessary.

Complete your document online today to ensure timely processing of your jury service request.