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Get Physician's Statement For Medical Excuse From Jury Service

Physicians Statement for Medical Excuse from Jury Service Jurors Participant Number: Patient Name: Patient Address: To Federal Jury Clerk: GENERAL EXCUSE FROM FEDERAL JURY SERVICEPlease excuse the.

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There is no age exemption for jury service. If you are 70 years of age or older, the California Rules of Court allow you to be excused due to a medical condition without a doctor's note.

If you have been convicted of a felony or malfeasance in office and have not had your civil rights restored, you cannot serve as a juror. If you are unsure, contact the court where your proceeding was held or consult a legal professional. If you are/or will be serving as juror in any court.

Excuse from Service You have no means of transportation. You would have to travel an excessive distance to the courthouse. You have a physical or mental impairment. You provide care for a dependent and cannot afford to have someone cover for you. Serving would be an extreme financial burden.

(5) "Permanent medical excuse" means a release from jury service granted by the jury commissioner to a person with a disability whose condition is unlikely to resolve and who, with or without disability-related accommodations, including auxiliary aids or services, is not capable of performing jury service.

A request for permanent medical excuse must be submitted in writing by the juror/person with a disability or his/her authorized representative on or before the date the person is required to appear for jury service. A supporting letter, memo, or note from a treating health care provider must be included.

In the event you were not able to appear on your scheduled summons date for jury service, you will need to contact our office via email or by phone in order to avoid receiving a Failure to Appear notice that can result in a fine, imprisonment or both, pursuant to C.C.P. 209.

Excuse from Service You have no means of transportation. You would have to travel an excessive distance to the courthouse. You have a physical or mental impairment. You provide care for a dependent and cannot afford to have someone cover for you. Serving would be an extreme financial burden.

All requests to be excused from jury service must be submitted in writing. Prior Jury Service. This excuse is for those people who have actually heard testimony. ... Child Care / Care of a Dependent. ... Distance. ... Volunteer Safety Personnel. ... Financial / Business / Employment Hardship.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232