Jury Duty Excuse Letter Template

You can open the Jury Duty Excuse Letter Template in multiple formats, including PDF, Word, and Google Docs.


Sample

Jury Duty Excuse Letter Template

Printable | Editable Form



Examples


Jury Duty Excuse Letter Template (1)
From:
[Your Name]
[Your Address]
[City, State, ZIP Code]
[Your Phone Number]
[Your Email Address]
Date:
[Date]
To:
[Court’s Name]
[Court’s Address]
[City, State, ZIP Code]
Subject:
Request for Excusal from Jury Duty
Dear [Judge’s Name or Jury Coordinator],
Introduction:
I hope this message finds you well. I am writing to formally request an excusal from jury duty scheduled for [Date of Jury Duty] due to [specific reason – e.g., personal, medical, financial hardship, etc.].
Reason for Excusal:
[Provide a detailed explanation of your reason for requesting an excusal. For example, if it is a medical issue, include any relevant information or documentation. If it is a personal matter, explain the situation briefly, maintaining privacy where necessary. Ensure to emphasize how this obligation affects you and why your presence is essential elsewhere.]
Supporting Documentation:
Attached to this letter are [list any documents you are including, such as a medical note, employment letter, etc.], which I hope will provide clarity regarding my situation.
Conclusion:
I appreciate your understanding and consideration of my request. I am fully committed to fulfilling my civic duties and look forward to participating in jury duty in the future when I am able. Please let me know if you require any further information or clarification regarding my request.
Thank you for your attention to this matter.
Sincerely,
[Your Signature (if sending a hard copy)]
[Your Name]
Jury Duty Excuse Letter Template (2)
From:
[Your Name]
[Your Address]
[City, State, ZIP Code]
[Your Phone Number]
[Your Email Address]
Date:
[Date]
To:
[Court’s Name]
[Court’s Address]
[City, State, ZIP Code]
Subject:
Request for Exemption from Jury Duty
Dear [Judge’s Name or Jury Coordinator],
Introduction:
I am writing to respectfully request an exemption from serving on a jury on [Date of Jury Duty]. Unfortunately, due to [specific reason – e.g., an unavoidable work commitment, caregiving responsibilities, etc.], I am unable to fulfill this obligation at this time.
Detailed Explanation:
[Provide a comprehensive description of your circumstances. For example, detail your work commitments, family situations, or any other obligations that prevent you from serving. If possible, mention your willingness to serve at a later date when circumstances allow.]
Attached Evidence:
Enclosed are documents that support my request, including [name any documents you are including, such as a letter from your employer, proof of caregiving responsibilities, etc.].
Closing Remarks:
I appreciate your understanding concerning my situation. I understand the importance of jury duty and assure you I look forward to participating when I can. If additional information is needed, please do not hesitate to reach out.
Thank you for considering my request.
Kind regards,
[Your Signature (if sending a hard copy)]
[Your Name]

Format

Please complete the form below to create the Jury Duty Excuse Letter Template. All fields must be filled out to ensure a clear and complete request. We provide examples to guide you through each step.

Jury Duty Excuse Letter Template

1. Personal Information



2. Jury Duty Details


3. Reason for Requesting an Excuse

4. Supporting Documentation

5. Statement of Understanding

6. Declaration and Signatures



PDF


WORD

Google Docs

Printable

Jury Duty Excuse Letter Template

Printable | Editable Form




Jury Duty Excuse Letter Template