Jury Duty Excuse Letter Template

REQUEST LETTER FOR EXCUSE FROM JURY DUTY DUE TO FINANCIAL HARDSHIP / CHILD CARE / MEDICAL REASONS / FROM DOCTOR

[DATE, ex. Wednesday, June 11, 2014]

[NAME AND ADDRESS, ex.

John Smith

1234 First Street

Suite 567

Anycity, Anystate  85245]

Dear [NAME, ex. John Smith],

I am in receipt of your letter of [DATE, ex. June 10, 2014].  Although I am honored by the privilege, I respectfully request that I be excused from jury duty.

[STATE REASON(S), ex. I am currently employed by ABC International Incorporated of Tempe.  As a small firm, my employer will be unable to pay me during my absence for jury duty.  Simply stated, my financial position will be severely affected as a result. I will be able to forward a statement from my employer if you so require.]

I trust that you understand my position and excuse me, thus, from jury duty.  You may contact me at XXX-XXXX if there are any concerns.

Sincerely,

[YOUR NAME, ex. Jill Jones]