Escambia County Jury Excusal Form PDF Details

When you are summoned for jury duty, the last thing you want to deal with is a long and complicated form. That's why the Escambia County Jury Excusal Form is designed to be easy to use. Simply follow the instructions on the form, and you will be able to quickly let the court know why you cannot serve on jury duty. The form can be submitted online or by mail, and it is available in English and Spanish.

In the list, there is some information relating to the escambia county jury excusal form. This figure will give you details about the form's length, finalization duration, and the areas you will be expected to fill.

Form NameEscambia County Jury Excusal Form
Form Length1 pages
Fillable fields18
Avg. time to fill out3 min 55 sec
Other namesjury duty escambia county, com escambiaclerk, escambia jury summons, clerk forms jury

Form Preview Example

Pam Childers

Clerk of the Circuit Court and Comptroller, Escambia County

Clerk of Courts • County Comptroller • Clerk of the Board of County Commissioners • Recorder • Auditor

















Juror Number:






Report Date:




This completed request form for excusal must be received five business days prior to your report date in writing or by e-mail. Email completed form to

To check your status visit


I am a convicted felon and have not had my civil rights restored.

I am currently under prosecution for a crime.

I do not live in Escambia County, Florida

I am not a citizen of the United States of America.


I have been summoned and reported as a prospective juror within the last 12 months. I am an expectant mother.

I am 70 years of age or older. Excuse me from this summons date only.

I am 70 years of age or older. Excuse me permanently (signature required below). I take care of a person who is mentally or physically unable to care for themselves. I am a full time federal, state or local law enforcement officer or investigator.

I am a parent not employed full time, and have custody of a child less than 6 years of age.


Under penalty of perjury, I request to be excused or am disqualified from jury duty for one of the reasons marked above. The above statements are true to the best of my knowledge.

Juror Signature (required)


Phone Number (required)

How to Edit Escambia County Jury Excusal Form Online for Free

You'll find nothing difficult related to working with the escambia jury summons once you begin using our tool. By simply following these basic steps, you will receive the fully filled out file in the minimum time feasible.

Step 1: Select the orange "Get Form Now" button on the page.

Step 2: The document editing page is now available. Include information or change present information.

To obtain the form, enter the details the system will request you to for each of the next segments:

portion of blanks in escambiaclerk com jury

Type in the essential particulars in the area I REQUEST TO BE EXCUSED FROM JURY, Juror Signature (required), Date, and Phone Number (required).

Filling in escambiaclerk com jury part 2

Step 3: Click the Done button to save the document. Now it is readily available for transfer to your electronic device.

Step 4: It will be easier to create copies of your document. There is no doubt that we are not going to disclose or see your details.

Watch Escambia County Jury Excusal Form Video Instruction

If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .