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REQUEST FOR MEDICAL DISQUALIFICATION FROM JURY SERVICE 1371105, C.R.S. If any person requests to be disqualified from jury service for reasons related to a mental or physical condition, the jury commissioner
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How to fill out Request For Medical Disqualification From Jury Service

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How to fill out Request For Medical Disqualification From Jury Service

01
Obtain the Request For Medical Disqualification From Jury Service form from your local court's website or office.
02
Complete the personal information section, including your name, address, and jury service summons number.
03
Provide details of your medical condition, including a brief description and any documentation required by the court.
04
Indicate how your medical condition affects your ability to serve on a jury.
05
Sign and date the form to certify that the information provided is true and accurate.
06
Submit the completed form to the court by the specified deadline, either in person or through the mail.

Who needs Request For Medical Disqualification From Jury Service?

01
Individuals who have a medical condition that prevents them from serving on a jury.
02
People who have received a jury summons and require an exemption due to health issues.
03
Individuals who have disabilities that affect their ability to participate in court proceedings.

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Request For Medical Disqualification From Jury Service is a formal document that individuals can submit to be excused from jury duty due to medical reasons affecting their ability to serve.
Individuals who have medical conditions that impair their capacity to participate in jury service are required to file the Request For Medical Disqualification.
To fill out the Request, individuals must provide personal details, a description of their medical condition, any supporting documentation from a healthcare provider, and sign the form before submitting it to the court.
The purpose of the Request is to ensure that individuals who are unable to serve on a jury due to medical issues are excused, thereby upholding the integrity of the jury process.
The form must report personal identification information, details of the medical condition, a statement from a healthcare professional if required, and any relevant medical history that justifies the disqualification.
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