Arizona Request for Medical Excuse from Jury Service

State:
Arizona
Control #:
AZ-PN-O-33-0
Format:
PDF
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Description

Request for Medical Excuse from Jury Service The Arizona Request for Medical Excuse from Jury Service is a form that can be submitted to the court in order to excuse an individual from jury duty due to medical reasons. The form must be submitted by a licensed health care provider and must include details about the medical condition that prevents the individual from being able to serve on a jury. There are two types of Arizona Request for Medical Excuse from Jury Service: Category 1 and Category 2. Category 1 excuses are for individuals with a medical condition that is permanent or long-term. Category 2 excuses are for individuals with a temporary medical condition. The form must be signed by the health care provider and include their name, address, and license number. The form also requires the health care provider to provide information on the medical condition as well as the expected duration of the medical condition. Once the form is completed, it must be submitted to the court for consideration.

The Arizona Request for Medical Excuse from Jury Service is a form that can be submitted to the court in order to excuse an individual from jury duty due to medical reasons. The form must be submitted by a licensed health care provider and must include details about the medical condition that prevents the individual from being able to serve on a jury. There are two types of Arizona Request for Medical Excuse from Jury Service: Category 1 and Category 2. Category 1 excuses are for individuals with a medical condition that is permanent or long-term. Category 2 excuses are for individuals with a temporary medical condition. The form must be signed by the health care provider and include their name, address, and license number. The form also requires the health care provider to provide information on the medical condition as well as the expected duration of the medical condition. Once the form is completed, it must be submitted to the court for consideration.

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Arizona Request for Medical Excuse from Jury Service