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Get CT JD-JA-47 2012-2024

Jud.ct.gov To request a medical disqualification, please fill out Part I of this form and have a licensed health care provider complete Part II of this form. Do not take this notice to court. Please fax, or scan and e-mail this form to Jury Administration. The fax number is (860) 263-2770. The e-mail address is Jury.Administration jud.ct.gov. You may also mail this form directly to Jury Administration, P.O. Box 260448, Hartford, CT 06126-0448. Jurors whose medical disqualification is approved a.

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