This form for use in litigation against an insurance company for bad faith breach of contract. Adapt this model form to fit your needs and specific law. Not recommended for use by non-attorney.
Pay Benefits Jury Withdrawal In Bronx
Category:
State:
Multi-State
County:
Bronx
Control #:
US-000278
Format:
Word;
Rich Text
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Description
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FAQ
If you are seeking to be permanently excused, mail the summons, the completed update card, a full note of explanation and any supporting documentation, such as a doctor's note, certificate of prior jury service or proof of a new address (yellow postal forwarding sticker, copy of a new drivers license or utility bill).
If you fail to respond or appear for jury service on the specific time and date that the summons stipulates, you will automatically receive a new summons with a new date for jury service.
Reasons for Being Excused from Jury Service Medical reasons. Public necessity. Undue hardship. Dependent care. Student Status. Military conflict. Other reason deemed sufficient by the court.
Here: To Whom It May Concern: Hello. I am writing to ask for a personal hardship deferral/excusal from jury duty at this time. I am the fulltime stay at home parent for my four children, ages 8,6, 4 and 2. The 2 year old is still breastfeeding several times a day, and my husband is self-employed.
To apply for a postponement or excusal if: If you have a medical condition that prevents you from serving as a juror, please submit a statement from a licensed medical professional which includes the following: A diagnosis of your mental or physical condition. A prognosis of how long the condition is expected to exist.
Any future request for postponement or excusal must be made by contacting your local commissioner of jurors office. If you cannot serve even if granted a postponement, you may contact your local commissioner of jurors office and ask to be excused from service.