Sample Refusal (Opt Out) Letters. This page has links to opt out letters for the tests New York STATE gives to 3rd-8th graders every spring.Opting your child out of MCA exams is a simple procedure. You can write your own letter or use our sample letter. Contact your school or district for more information on how to opt out of local assessments. I filled out the school's (Colorado) optout form listing all the standardized tests, including Map, several months ago. To request to be excused from jury service fill out the Jury Information Form, located at the bottom of the summons, or on-line using eJuror. Imagine a yearbook with only half of the students shown. Directory Information OptOut Form. Click on the form to complete and print.