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JUROR DISQUALIFICATION/EXEMPTION/EXCUSE REQUEST FORM JURORS NAME: Week summoned: Juror # Citizens are not qualified to serve as a juror may request an exemption from Jury Service for the reasons listed
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The juror disqualification exemption excusal request form is a document used to request to be excused from jury duty for various reasons.
Anyone who believes they have a valid reason for being disqualified, exempted, or excused from jury duty is required to file the form.
The form can be filled out by providing all requested information and explaining the reason for the request.
The purpose of the form is to allow individuals to request to be excused from jury duty if they have a valid reason.
The form typically requires personal information, the reason for the request, and any supporting documentation.
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