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Get CA Request for Excuse from Jury Service 2005-2021

W requires a written statement from a physician licensed by the state of Arizona. In the absence of a physician, a professional caregiver may complete this form. The professional caregiver must be deemed acceptable by the Court or Jury Commissioner for this purpose. Some mental and physical problems do not warrant an excuse from service but may warrant a postponement. For any excuse that you provide, please be aware that you may be called to testify before the Court about your representations re.

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