REQUEST FOR EXCUSE FROM JURY DUTY AGE
REQUEST FOR EXCUSE FROM JURY DUTY - AGE
FOR JUROR/PROSPECTIVE JUROR: ____________________________________________________
(Required)
9-DIGIT BARCODE PARTICIPANT NUMBER: ___________________________
(Required)
This request is in response to a SUMMONS, date which your service begins:_______________
Reason for Excuse Request:
[
] I am over 70 years of age.
Date of Birth ________________
(Required)
PLEASE NOTE: If you are over 70 years of age, it is not necessary to list other factors such as medical
issues, care of a spouse, vacation, etc. You ONLY need to submit your request based on your age.
You must also mail the bottom portion of the summons you received with this form to the address
below.
Excuse requests cannot be accepted on the date you are scheduled to appear for jury duty. You should mail
this form as soon as possible to U.S. District Court, 324 W. Market St., Greensboro, N.C., 27401 Attn: Jury.
If you are seeking excuse from a summons, you will be notified by e-mail or via the U.S. Postal Service of
the Court¡¯s decision. Do not assume that you have been excused merely because you have submitted a
request to be excused.
Additional Information:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
__________________________________ ___________________________________ _____________
Signature
Printed Name
Date
(Signature, Printed Name and Date required in order for your request to be considered.)
Reset Form
Print Form
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- addressing awol
- crown commercial service framework schedule 4 call off
- policy procedure document wku
- commonwealth of pennsylvania department of labor
- schedule 6 call off contract template framework number
- human resources manual hhs instruction 630 1 leave and
- school attendance late arrival attendance and truancy
- kronos supervisor guide connecticut
- jury frequently asked questions united states courts
- walmart administration of covid 19 vaccinations faq
Related searches
- jury duty cut off age
- federal jury duty excuses
- federal jury duty on call
- federal jury duty pay
- federal jury duty vs state
- federal court jury duty service
- jury duty call in number
- az jury duty summons
- jury duty laws by state
- pa jury duty age limit
- new york state jury duty employer obligations
- jury duty employer responsibility