Jury Duty Excusal Form

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...

Full Name*

Phone Number*

Email Address*

Selection ID*

Date Summoned*

Disqualification

I am not a U.S. citizen
I am a convicted felon whose civil rights have not been restored or I am under prosecution for a crime
I am the Governor, Lieutenant Governor, a Cabinet officer, a clerk of court, or a judge
I no longer reside in Marion County, Florida (Please provide new address in Comments area)
I am exempt from jury service because I was summoned and I reported for jury duty within one (1) year from the reporting date listed on this summons (Please provide date served in Comments area)

Excusal

I am over 70 years old and request excusal from this date only
I am over 70 years old and request permanent exemption from jury duty
I am an expectant mother
I am a parent who is not employed full time and have custody of a child under 6 years of age
I am a full time federal, state or local law enforcement officer or investigator
Currently serving in the military outside of Marion County (Please provide branch of service and duty station in Comments area)
Currently attending school out of county/state (Please provide name of school and location in Comments area)
I am responsible for the care of someone mentally or physically unable to care for himself or herself (Please provide person's name in Comments area)

Postponement (First Time Requests Only)

Reschedule within 30 days
Reschedule within 60 days
Reschedule within 90 days

In the Comments area below, please briefly explain why you are requesting a postponement.

Comments

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