A request to be excused from jury service must be submitted in writing to the Jury Administration Office prior to the prospective juror's service date. You can Opt-In or Opt-Out of the BookSaver Program when you first register for classes.I will be covered as a dependent as specified below. In California, parents can opt out of testing for their child. See resources for educators and parents below. Unless exempt, an individual is required to participate in CalWORKs Welfare-to-Work activities as a condition for receiving aid. To submit a referral to IEHP, please fill out the referral form below, include all clinical notes and fax it to IEHP. To opt out of sharing. Fill out, sign, and date VA Form 10-10164 (Opt Out of Sharing Protected Health Information). You will receive the updated OPT I-20 in 3-5 business days.