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SAMPLE JURY EXCUSE LETTERDear 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.

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I hereby swear and affirm that the individual identified above is my patient, and that he/she has a serious medical condition at the present time that prevents him/her from being able to appear for jury duty.

How to write an excuse letter for your absence Ensure the reason is legitimate. There are several reasons that you may need to be absent from work unexpectedly, including: ... Refer to your employee's guidelines. ... Notify your team. ... Be professional. ... Request to work remotely. ... Be accessible. ... Write your letter promptly. ... Be honest.

Excuse from Service You have no means of transportation. You would have to travel an excessive distance to the courthouse. You have a physical or mental impairment. You provide care for a dependent and cannot afford to have someone cover for you. Serving would be an extreme financial burden.

(1) An applicant must submit to the jury commissioner a written request for permanent medical excuse with a supporting letter, memo, or note from a treating health care provider.

Exemptions: You may be exempt from jury service if you are employed on a full time basis as an elected public official, are a member of any governmental police or regular fire department or a member in active service of the armed forces of the United States.

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.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232