Undue Hardship Jury Duty Sample Letter Format
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How to fill out Sample Letter For Employee Requesting Release From Jury Duty Because Of Financial Hardship?
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FAQ
A request for permanent medical excuse must be submitted in writing by the juror/person with a disability or his/her authorized representative on or before the date the person is required to appear for jury service. A supporting letter, memo, or note from a treating health care provider must be included.
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.
If you are under the age of 70 and have a medical disability that would prevent you from serving, you must provide a doctor's note verifying the disability. The medical note must indicate the permanent nature of your disability or, if temporary, the specific time period for which your medical excuse is valid.
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.
If you have a compelling reason to be excused from jury service (extreme inconvenience or undue hardship), you must notify the jury office in writing. Any request must be prepared by the juror and detail the hardship. You may include any attachments you deem appropriate to aid the Court in rendering a decision.
