Juror Excuse Statement Form PDF Details

Are you looking for an easy way to make a juror excuse statement? You have come to the right place. In this blog post, we will discuss everything related to the juror excuse statement process and provide you with an example of a completed form. We'll discuss who qualifies for excusal from jury duty and how to go about getting it approved. Additionally, we'll talk about what information needs to be provided in order for your request of being excused from jury service to be granted or denied. Ultimately, by the end of this article (and after you fill out our handy Juror Excuse Statement Form), you should be well equipped with all the knowledge needed when it comes time for submitting your plea and requesting an excusal from jury duty!

QuestionAnswer
Form NameJuror Excuse Statement Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namessarasota jury duty, jury scgovnet online, jury duty excuse letter, sarasota county jury office

Form Preview Example

JUROR EXCUSE STATEMENT

Instructions: If you are automatically excused by law or you are requesting to be excused from jury service, please complete this form. This statement must be signed and may be mailed to Karen E. Rushing, Clerk of the Circuit Court, Jury Services, P.O. Box 3079, Sarasota, FL 34230-3079; faxed to (941)-861-7738, or emailed to jurygroup@scgov.net. Unless you are contacted by the Court, your request for exemption under Section II or III has been granted. You must comply with the instructions and provide a telephone number.

Section I: Disqualification (Automatic Excuse)

I am not a citizen of the United States.

I have been adjudicated incompetent with my competency rights not restored.

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

I do not possess a valid Florida Driver’s license

or identification card or have not requested to serve as a juror by affidavit.

I do not reside in Sarasota County.

I am under prosecution for a crime.

Section II: Exemption (You may request to be excused)

I am an expectant mother.

I am a full time law enforcement officer, or among such entities’ investigative personnel.

I am a parent who is not employed full time, and have custody of a child under six years of age.

I am a person responsible for the care of another, incapable of caring for themselves.

I am 70 years of age or older, and wish to be permanently excused.

I am 70 years of age or older, and wish to be excused at this time.

I have served as a juror in Sarasota County within the last 365 days.

Section III: Extreme Hardship

Hardship Reason (state reason):

____________________________

Under penalties of Perjury, I declare that I have read the foregoing juror postponement or excuse form and swear or

affirm that the facts stated in it are true. (F.F. 92.525)

Juror Number: _____________________

Juror name: _________________________________________

Report Date: ______________________

Where to report: Sarasota

Venice

Signature (Required)

 

 

 

____________

 

Phone (Home)

 

(Work)

 

____________

 

 

 

 

 

 

 

 

 

 

 

 

 

JuryexcusestatementFeb2012

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