Jury Duty Hardship Excuse Request Form
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Jury Duty Hardship Excuse Request Form
Request to be excused from jury duty due to undue financial, medical, or caregiving hardship.
Juror name *
Your answer
Juror number / badge number *
Your answer
Court / county *
Your answer
Summons reporting date
Mailing address
Daytime phone
Type of hardship
+ 7 more questions
About this template
Request to be excused from jury duty due to undue financial, medical, or caregiving hardship.
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