SAMPLE JURY EXCUSE LETTER - 5th District Dental Society
SAMPLE JURY EXCUSE LETTER
Dear Local Commissioner of Jurors:
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. This disruption to the care of my patients is a serious inconvenience to
them and to their dental health. In addition, it is an undue hardship on my livelihood to close my
practice for an extended period of time, since my practice depends on my being there for my
patients.
I hope that you will take into account the unique situation of a sole practitioner dentist like
myself, where jury service could substantially impair my livelihood and the health and welfare of
my patients, and see fit to grant my request for an excuse from jury duty.
Very truly yours,
_________________________________
Signed the Dentist
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