Jury Duty Excusal Form

Note: Fields marked with an * are required.

If your Internet browser does not support online forms, you must submit a paper form.

Request for excusal must be submitted 5 working days prior to reporting or it will be denied.

If you choose an excusal reason that is not listed on this page, your request must be mailed in to be addressed by a judge. For example: I am physically sick or disabled (note from healthcare provider required); I am a practicing attorney or practicing physician; any other reason not listed.

Enter your Selection ID number and Date Summoned as it appears on your summons. Check the applicable reason for disqualification, excusal, or postponement then click on the SUBMIT button.

An email response to your request will be sent to you generally within three (3) days following receipt of your request.

Please Complete...
(mm/dd/yyyy)
Disqualification
Excusal
Postponement (First Time Requests Only)
In the Comments area below, please briefly explain why you are requesting a postponement.

Maximum length: 1000