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Jury Duty Excuse
There are many acceptable excuses for jury duty. Be sure to check with your local jurisdiction when you receive your jury duty notice so that you understand what the requirements are. This sample letter template may be used based on your circumstances to create and send a jury duty excuse letter.

Free Sample Template
Format: Word PDF
# of Pages: 1
Printable: Yes

Jury Duty Excuse TemplateForm 4198
Format: Word PDF
Category: Legal, Court and Jury
Type: Letter

Jury Duty Excuse Note

[Your Name]


[City, State, Zip]

[Date of letter]

[Recipientís Name]


[Company Name]


[City, State, Zip]

Re: Juror #____ Requesting a Deferral From Jury Duty Service on ___/___/_____

Dear [Recipientís name],

I am writing to you today to formally make a request to be excused from jury duty on ___/___/_____ due to being a full time father of two small children.

I recently lost my job and I am unable to afford childcare arrangements at this time. Please place my name back in the lottery and it will be an honor and a privilege to serve as a juror at a future date.

If you have any questions please contact me at the number listed above. I very much appreciate your understanding during this financially difficult time.

Best regards,

[Your Signature]