This form is a sample letter in Word format covering the subject matter of the title of the form.
Sample Exemption Letter For Jury Duty In Fairfax
Category:
State:
Multi-State
County:
Fairfax
Control #:
US-0002LTR
Format:
Word;
Rich Text
Instant download
Description
Form popularity
FAQ
I am requesting a jury duty excusal because of my personal obligation to provide necessary and actual care to my two children. My elder child, Amy, is 3 years old and my younger child, Andrew, is 1 year old. They require constant care and attention and I do not have anyone with whom I can leave them full time.
Writing the Letter Insert your address and the date. Add the judge's name and address. Open the letter with a salutation. Explain why you will miss the court date. Mention any supporting documentation. Request a new court date. Conclude the letter. Add your name.
Dear Office of Jury Commissioner: I am a physician treating Juror Name for identify general nature of medical condition - specific diagnosis is not required.. This medical condition is a permanent medical condition. In my opinion, Juror Name will never be able to perform juror service.
When writing a jury excuse letter, directly state why you cannot serve and how serving would lead to hardship. Valid exemptions include being ill or disabled, being the sole guardian of young children, or being over the age of 70. Include documentation such as a doctor's note or a letter from an employer.
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.
Dear Sender, Thank you for your message. I am currently serving jury duty and will be unavailable until Return Date. This civic duty requires my full attention, and I will have limited access to email during this time.
During voir dire, either attorney may ask that a prospective juror be dismissed if he or she reveals information that might indicate a bias. For example, if someone were a relative of the plaintiff or defendant.
Medical conditions, deafness, difficult sitting for long periods, people who know the defendant or officers, people who've been victims of crimes, financial hardship, and more will be excused. Depending on the county, they might call 100 people to select just 12.
When writing a jury excuse letter, directly state why you cannot serve and how serving would lead to hardship. Valid exemptions include being ill or disabled, being the sole guardian of young children, or being over the age of 70. Include documentation such as a doctor's note or a letter from an employer.
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. The duration of this serious medical condition is (please select one):
More info
Yes, you must fill out the juror information form and detach it from the bottom of the summons. You must mail in the completed form to us within 5 days.Call the Jury Department to reschedule your service for a later date. Please call to reschedule. Additionally, you will learn about your role as a juror and what you should and should not do while in the courthouse or serving on a jury. Any of the following persons may serve on juries in civil and criminal cases but shall be exempt from jury service upon his request. Were you selected for possible jury service and looking to fill out your juror qualification questionnaire online? If you claim an exemption, you should (i) fill out the claim for exemption form and (ii) deliver or mail the form to the clerk's office of this court. Exemptions. Find out who is exempt from jury duty. Frequently Asked Questions.
