This is a Complaint pleading for use in litigation of the title matter. Adapt this form to comply with your facts and circumstances, and with your specific state law. Not recommended for use by non-attorneys.
False Jury For Work In Middlesex
Category:
State:
Multi-State
County:
Middlesex
Control #:
US-000280
Format:
Word;
Rich Text
Instant download
Description
Free preview
Form popularity
FAQ
Jurors must complete the qualification questionnaire using the online portal or mailed letter version prior to submitting an excusal request. Excusal requests can be submitted using the online portal or by completing the excusal section on the bottom of the mailed questionnaire.
Failure to return the form at this time will result in the issuance of a summons for you to appear in court to complete the questionnaire. Thereafter, the penalty for failure to respond may include a fine of not more than $1000.00 or imprisonment of not more than 3 days, or both pursuant to Title 28, U.S.C.
For example, write something like “My name is Jane Doe. On (date), I received a jury summons for (court date) at (court address) and was assigned the juror number (insert number here). I am writing to request to be excused from jury service because being absent from work would pose an extreme financial hardship.”
I am requesting a jury duty excusal because of my personal obligation to provide necessary and actual care to my two children. My elder child, Amy, is 3 years old and my younger child, Andrew, is 1 year old. They require constant care and attention and I do not have anyone with whom I can leave them full time.
Dear Sender, Thank you for your message. I am currently serving jury duty and will be unavailable until Return Date. This civic duty requires my full attention, and I will have limited access to email during this time.
Failure to return the form at this time will result in the issuance of a summons for you to appear in court to complete the questionnaire. Thereafter, the penalty for failure to respond may include a fine of not more than $1000.00 or imprisonment of not more than 3 days, or both pursuant to Title 28, U.S.C.
The summons is issued by the clerk or jury commission of the U.S. District Court.