This form is a sample letter in Word format covering the subject matter of the title of the form.
Sample Exemption Letter For Jury Duty In Arizona
Category:
State:
Multi-State
Control #:
US-0002LTR
Format:
Word;
Rich Text
Instant download
Description
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FAQ
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.
A request to be excused must be made in writing to the court that issued the summons and must be supported by appropriate documentation. Requests for excuse should be directed to the Jury Commissioner's Office. Your service is required as a prospective juror for a minimum of one day.
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.
Make sure to clearly state your request in your letter. Let the court or jury commissioner know that you are requesting an excusal from jury duty and provide the reason for your request. Keep your tone polite and professional while making a compelling case for why you cannot serve.
When writing a jury excuse letter, directly state why you cannot serve and how serving would lead to hardship. Valid exemptions include being ill or disabled, being the sole guardian of young children, or being over the age of 70. Include documentation such as a doctor's note or a letter from an employer.
The medical reasons can vary - you could have a severe acute condition that would prevent you from leaving the house (like a severe case of the flu, or broken bones, or anything that might prevent you from leaving), or you could have a chronic condition that affects your mobility or your stamina.
Provide a detailed explanation of the medical condition or reason for the absence. Include the dates of the doctor's visit or treatment, as well as the anticipated duration of recovery or absence. Attach any relevant medical documentation or prescriptions, if applicable.
Dear Office of Jury Commissioner: I am a physician treating Juror Name for identify general nature of medical condition - specific diagnosis is not required.. This medical condition is a permanent medical condition. In my opinion, Juror Name will never be able to perform juror service.
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.”
