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You should mail this form as soon as possible to: U.S. District Court, 324 W. Market St., Greensboro, NC 27401 Attn: Jury. You MUST complete the online juror questionnaire and request to be excused.If you're requesting to be excused review and complete the Request for Excuse section below. Jury staff does not have the authority to excuse you from your jury service. The Jury Questionnaire must be completed and returned, even if you have a request to be excused. The court will not entertain your request unless you complete the required questionnaire. Questions 1 through 12. Any request to be excused or additional requests to be rescheduled must be in writing and submitted with your completed juror qualification form. If a prospective juror does not have a physician, physician assistant, or RNP, a professional caregiver may complete this form. Each request is individually reviewed.