Sample Letter Medical Excuse From Jury Duty
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FAQ
The following persons are allowed to serve, but MAY be excused from jury duty upon request: Persons with a physical incapacity, mental incapacity, mental illness, intellectual disability or senility (an original, current, signed doctor's certificate must be submitted)
I am writing to request an excuse from jury duty on the grounds that such jury services would pose an undue hardship on me and an extreme inconvenience to the patients of my dental practice. I am a sole practitioner and have no other dentists in my office who can treat my patients if I am not here.
Excuse from Service You have no means of transportation. You would have to travel an excessive distance to the courthouse. You have a physical or mental impairment. You provide care for a dependent and cannot afford to have someone cover for you. Serving would be an extreme financial burden.
How: A licensed doctor must complete and submit the Physician Certification in Support of Medical Excuse Request form. You may request an excusal if you care for one or more minor children. There must be no other care available without causing a severe financial hardship.
