State your name, juror number, court date, and address. You must have served Federal jury service at a U.S. District Court within the last two years.Give the name of court and dates of service. Submit a letter they do not compensate you for jury duty and it would be a financial hardship for you. RE: Excusal From Jury Service (NAME OF SERVICE MEMBER). Dear Sir or Madam: (GRADE AND NAME), a member of the United States Air Force on active duty, has been. Please forward the questionnaire to the person for completion. If you intend on seeing the person within three months, you may hold the form until that time. Welcome to Washington State Courts. Typical reasons for jurors to request to be excused are based upon medical, financial, or educational hardships.