The Connecticut Request for Disqualification from Jury Service Based on Previous Federal Jury Service is a form used for individuals who have served on a federal jury in the past and would like to be excused from jury service in the State of Connecticut. The request must include the name and address of the person making the request, the court in which the federal jury service was performed, the dates of service, and the reason for the request. There are two types of Connecticut Request for Disqualification from Jury Service Based on Previous Federal Jury Service; one for individuals who have served on a federal jury within the past four years, and one for individuals who have served on a federal jury more than four years ago.