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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
Reasons for Being Excused from Jury Service Medical reasons. Public necessity. Undue hardship. Dependent care. Student Status. Military conflict. Other reason deemed sufficient by the court.
If you are requesting to be excused or postponed, please fax your completed information sheet and written request to (312) 554-8673 for Chicago and (815) 987-4291 for Rockford.
Failure to respond may result in a summons to appear before the Court to explain why you have not completed the Juror Qualification Questionnaire.
Excuses for Avoiding Jury Service: “Undue Hardship” Entitled to an exemption because you served on a jury within the past year or two; A lactating mother; The primary caregiver of a child under 12, or someone with a serious mental or physical disability, if there is no reasonable alternative care available;
The only way to be immune to jury duty is to not have a driver's license and not register to vote.
Excuses for Avoiding Jury Service: “Undue Hardship” Entitled to an exemption because you served on a jury within the past year or two; A lactating mother; The primary caregiver of a child under 12, or someone with a serious mental or physical disability, if there is no reasonable alternative care available;
Examples include: Full-Time Student, Care Giver, Child Care, Temporary Medical Condition, Scheduled Vacation, or Work Schedule conflict.
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.”
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.”
Simply tell your employer you have been selected to sit on a jury and you need X number of days off for the trial to run. Your employer should also understand your jury will have to deliberate the case.