Jury duty medical excuse form

Jury duty medical excuse form. (recording available 24 hours a day). If you are sick or injured, you may postpone your service or request an excuse. Enter your Personal Identification Number (PIN No. (PLEASE EXPLAIN WHY CONDITION PREVENTS JURY SERVICE. You will be prompted by the automated system to register your appropriate excuse request. Ohio has a statutory exemption that allows individuals over a certain age to request exemption from jury duty. If any person requests to be disqualified from jury service for reasons related to a mental or physical condition, the jury commissioner may request a written statement from a licensed physician, licensed physician assistant (PA) authorized under Juror payrolls are processed each Friday, except holidays. Note: This form is primarily used by district courts to manage juries. Although this patient is employed, it would be more detrimental for the patient to serve on the jury than their normal employment because. 7434. Do not take this request to court. Use the automated phone system at: 951-275-5076 (phone) or. When I received my official summons for jury duty the other day, the form guided me to complete a juror qualification questionnaire. The Judge will make a decision on whether to grant the request and if so, for how long. You may request an excusal based on certain medical conditions: The condition must prevent you from serving on jury duty; AND; The condition must be unlikely to change within a year. 011. Please advise our Jury Office immediately by calling (410) 222-1400. If by the end of your first day of service, you have not been empaneled on a jury Excuses will be granted ONLY for reasons of compelling personal hardship. Generally, if you qualify for one of the statutory excuses, you can respond to your jury If your summons indicates that you are a CALL-IN JUROR, you MUST call 954-831-8471 after 5:00 PM the evening before your report date, as your service may not be required. Your request CANNOT be handled by telephone. Jury Excuse or Deferral. Drawer DE Bisbee, AZ 85603 Jury Fax: 520-432-8589 or e-mail at ccic@courts. Juror Reference Manual. If a prospective juror does not have a physician, physician Michigan has a list of specific excuses that can be used to be exempt from reporting for jury duty, including excuses for military, elected official, student, breastfeeding, age, police, medical worker and firefighter. If directed to report, plan to attend court as a juror from 8:00 a. The District Clerk's office will contact the company that provides these two services and get assistance for you scheduled. This court will hear these types of cases : Tort, contract, real property rights, and estate. the night before your summons date for your reporting instructions. Apr 8, 2024 · Learn if you qualify or not. Serving one’scommunity as a juror is a fundamental obligation of all citizens, and is the bedrock upon which our system of justice is based. In so doing, I came upon my state’s list of acceptable excuses which included, among others, an automatic exemption for those 75 years or older if so inclined—no infirmity Mar 25, 2024 · For example, write something like “My name is Jane Doe. You can also be excused if you don't meet the basic eligibility requirements for jury duty in VA . mail a few days after your jury service concludes. You may check your standby status by calling (312) 603-5950. Masks are not mandatory, but you are free to wear one should you Once Section A is completed, and you complete your request for excuse on the summons, you must call (213) 972-0970, register for jury service, and request an excuse when prompted to do so. Sacramento Superior Court. If you do not have a touchtone phone, or need assistance, please call 407-836-2206 before 5 You may complete a partial excuse request through eJuror or by mailing the request to the Court. § 21-202 If a patient requests to be excused from jury service for reasons related to mental or physical conditions, Arizona law requires a written statement from a physician, physician assistant, or registered nurse practitioner (“RNP”) licensed by Reporting Instructions. If granted, excuse periods may not exceed 24 months. Some reasons you may be excused or deferred from jury You have provided our community an invaluable service, and we thank you! Please be sure to have a wonderful and safe Memorial Day weekend! Call the Juror Information Line ( 912-652-7169 ) after 6 pm for further reporting and parking instructions. Constitution. Active duty military. Any other requests to be excused from jury service can only be granted by the jury coordinator. 2 (a), and 830. The court may request other non-private information if necessary to decide the excusal request. The Jury Commissioner only has authority to grant the following categories of excuse, deferral or accommodation: Peace officer with statewide authority [CCP§219 (b) (1)] [Penal Code §§830. If you were a sworn juror on a trial, and receive a Summons for Jury Service within three years, you may request to be excused. Please do not ask court staff to contact your medical provider. You may be placed on standby. Sacramento, CA 95814. If you have misplaced the juror response form, you may download and print it from the links below: Riverside or Banning; Murrieta; Indio; Request for Permanent Medical Excuse from Jury Service. A prospective juror may be excused from jury service by the court, for a period of time the court deems necessary only upon a showing of undue hardship, extreme inconvenience, public necessity, or any reason deemed sufficient. 720 9th Street. How long you are excused from jury service will depend on your circumstances. Remember you are on call for the entire week. Phoenix, AZ 85003. Find out updates on COVID-19 and your jury service. This Jury Duty Excuse Form contains form fields that ask for juror's information, court name, court MEDICAL EXCUSE REQUEST. May 19, 2024 · medical excuse and jury forms Jurors FILL OUT ONLINE QUALIFICATION QUESTIONNAIRE JUROR REPORTING INFORMATION MEDICAL EXCUSE AND JURY FORMS Use of Electronic Devices JURY SERVICE FAQ Court Location and Parking Juror Compensation in Arizona - Video Jury Orientation Video JUROR PAY OVERVIEW CONSTITUTIONAL RIGHT VIDEO You may be excused if you have a serious health problem. Please submit a permanent medical excuse request separately, along with a copy of this summons. Date: RE: Address: Jury Commissioner, This is to inform you that the patient listed above has been excused from Jury Duty due to this medical condition: _____________________________________________________________________________ __________________________ Could serve at a later date. Instructions and troubleshooting when using Zoom for jury service. Florida License No: Date: *This request must be faxed (904-255-2162), hand delivered or mailed to the Clerk before the date the Juror/Patient is to report for Jury Duty. Requests may be emailed to Jury Management at [email protected], or mailed Illinois has a list of specific excuses that can be used to be exempt from reporting for jury duty, including excuses for military, elected official, student, age, police, medical worker and firefighter. To request a medical disqualification, please fill out Part I of this form and have a licensed health care provider complete Part II of this form. Return To. Juror. It is the responsibility of the Juror/Patient to ensure this request is received by the jury department in a timely manner. If you receive a jury summons in the mail, you’re required to respond. 6 days ago · Our website will not accept postponements for longer than 90 days, therefore students, teachers and breastfeeding mother will need to make their request in writing via: E-mail to: juryduty@saccourt. You can also be excused if you don't meet the basic eligibility requirements for jury duty in TN . Jurors are to report to the Osceola County Courthouse at 7:30am on their initial reporting date. Citizens over the age of 75 can be exempt from jury service under this age exception. The automated system will guide you through the registration What you need. Riverhead, NY 11901. Generally, if you qualify for one of the You must appear unless you are notified that the Court has granted your request. HARDSHIPS/EXCUSES: Excuses are rarely granted and documentation/proof is necessary. JID must be 9 numeric characters. The forms require a sworn affidavit by the juror, a release under HIPAA and a form to be signed by your medical doctor. Completing the Juror Questionnaire accurately will help the court determine if you are qualified to serve as a juror. cases in which jurors are excused from jury service for medical reasons. A Jury Duty Excuse Form is a document that is submitted to the jury office to request to be released from jury work. Additionally, if you are employed by a small business not required by PA state law to provide you with unpaid leave for jury duty, you may Nov 16, 2023 · Report for jury duty. Holly, NJ 08060 Map Jury Management: 609-288-9499 ext. Box 61010, Houston, TX 77208. 425, 494. ca. e. You may also call (707) 521-6640 or text your badge # to (707) 940-8870 for assistance, to check your status or to schedule reminders. Trial jurors receive $12 for the first day of service and $20 for each day thereafter. Most counties require medical note from physician for deferral or postponement. R. Any requests for permanent excuse must be submitted in writing to the Court. You may check your status through one of the following options: Log on to the Juror Web Portal. To defer jury service you may either use the Juror Questionnaire Portal or automated phone system at 1-909-884-1858. New Jury Duty Summons Portal – allowing jurors to conduct their jury business online, including registering their eligibility to serve, requesting excuses, disqualifications or postponements, and uploading medical notes and other documents, thereby reducing the foot traffic and the need for physical appearances at the Court. JID: JID must be filled. How: A licensed doctor must complete and submit the Physician Certification in Support of Medical Excuse Request form. Potential jurors are drawn at random from Duval County residents in accordance with Florida Statute 40. All eligible citizens are expected to report for jury duty, including accountants, college professors, college students, dentists, doctors, farmers, lawyers, nurses, the self-employed, school Maryland has a list of specific excuses that can be used to be exempt from reporting for jury duty, including excuses for student, breastfeeding, age, police, medical worker and firefighter. You can also be excused if you don't meet the basic eligibility requirements for jury duty in IA . If you opt-in for these text notifications, you will receive a text message reminder from 925-369-5984 with information regarding your summons date, you will also receive a reminder text message the evening prior of your summons date with REQUEST FOR MEDICAL DISQUALIFICATION OR POSTPONEMENT FROM JURY SERVICE § 13-71-105, C. The Jury Selection and Service Act also allows courts to offer temporary deferrals or excusals of jurors from service at the time they are summoned to report to the courthouse on the grounds of “undue hardship or extreme inconvenience. You can also be excused if you don't meet the basic eligibility requirements for jury duty in AZ . If a patient requests to be excused from jury service for reasons related to mental or physical conditions, Arizona law requires a written statement from a physician, physician assistant, or registered nurse practitioner (“RNP”) licensed by the state of Arizona. Note: “For Medical Reasons” will not be accepted as valid explanation. Please excuse the above named patient from federal jury duty due to: _____ _____ _____ It is medically advisable that the patient refrain from this type of service. Importance of Jury Duty. General Mental Health Excuse Letter: This type of excuse letter addresses a broad range of mental health conditions, including anxiety disorders, depression, bipolar disorder, post-traumatic stress disorder (PTSD), schizophrenia, etc. If you have been summoned for Jury Duty, you need to check the Online Status on the Missouri has a list of specific excuses that can be used to be exempt from reporting for jury duty, including excuses for elected official, age, police and firefighter. Juror Information Email Physical Address County Administration Facility 49 Rancocas Road Mt. You can also be excused if you don't meet the basic eligibility requirements for jury duty in FL . Types of Jury Duty Excuse Letters from Therapists: 1. az. You can also be excused if you don't meet the basic eligibility requirements for jury duty in MO . Trial by jury is a concept central to American democracy. Jury duty can be postponed one or two times for up to one year each time. If you have a reason to have your jury service postponed, contact the Associate Jury Commissioner at (928) 402-8558 or (800) 304-4452, extension 8558. How do I request to be excused from jury service? Jurors must complete the qualification questionnaire using the online portal or mailed letter version prior to submitting an excusal request. The time you are released will depend on the court's schedule. gov to explain your condition and request a deferral of your jury service. Access Jury App. This form must be submitted by the prospective juror within five business days. Call 407-836-2048 after 5:00 pm. You must visit the website of the federal district court where you were selected to serve to complete an online Juror Qualification Questionnaire via eJuror and to learn additional details should you be summoned to report to court for jury service. Questionnaire. Jan 16, 2024 · Prior to reporting, please go to the Jury Duty Reporting Status page and follow the instructions the day before you are to report or call (352)742-4162 the day before or the weekend before you must come to court. Overview. Postponement of Jury Service. A member of a fire or police department. Find answers to many common questions asked by our jurors. You can also be excused if you don't meet the basic eligibility requirements for jury duty in AL . Use the self-service JURY PORTAL to check your status, postpone service or request to be excused or disqualified. When you serve as a juror, you are making our democracy stronger. Welcome to Gila County. If you're not disqualified from jury duty but attending would cause you an unusual hardship for another reason, you can ask to be excused from jury duty. Getting daily reporting message, directions and parking info, dress code, courthouse regulations, and more. to 5:00 p. loss of wages. Please call prior to your appearance date. The Court may exempt you from service if you are: In active service of the armed forces of the United States. One of the valid reasons for being excused in the jury work is medical issues with a supporting document like Doctor's Note. Download Form (pdf, 136. The statement must include WHY you need to be excused, the DAYS/DATES you need to be excused and WHEN YOU MAY BE ABLE TO SERVE in the future. Generally, if you qualify for one of The day that you report for jury service, you may be assigned to more than one courtroom to go through the selection process. The following is required for those jurors requesting a permanent medical excuse due to a disability: JURY ADMINISTRATION. Requests for excuses and postponements for jury duty must be made by electronically using the requested form below, or by mail or fax. You can also be excused if you don't meet the basic eligibility requirements for jury duty in CO . Prescott. Generally, if you qualify for one of the statutory excuses, you can respond to Please note, medical excuses must be accompanied by a doctor's note. 1 KB) Form Number: AO 224. Frequently Asked Questions About Jury Duty. Below are some resources to help you prepare, should you receive a jury summons. Complete Questionnaire. § 21-202 If a patient requests to be excused from jury service for reasons related to mental or physical conditions, Arizona law Arizona has a list of specific excuses that can be used to be exempt from reporting for jury duty, including excuses for military, elected official, student, breastfeeding, age, medical worker and firefighter. ”. 3 days ago · Occupation-based excuses, which existed in years past, have all but been eliminated Circuit wide and as provided by the District of Idaho’s Jury Plan. You can also be excused if you don't meet the basic eligibility requirements for jury duty in MD . Iowa citizens who receive a summons for jury service should complete a Juror Questionnaire and return it to the court within ten (10) days from receipt of the summons for qualification determination. If you qualify for jury duty, you’re required to report on your assigned date. On (date), I received a jury summons for (court date) at (court address) and was assigned the juror number (insert number here). You can now receive notifications on your mobile phone regarding your jury service. Excuses for jurors are granted at the discretion of the court and cannot be reviewed or appealed to Request for Excuse. The fax number is (860) 263-2770. Q. FAXES will ONLY be accepted if received from the signing physician’s office. You can call the toll-free automated jury information service at 866-224-9867, type in your nine-digit participant number (it is on the front of your summons), and follow the audio prompts. Please have your jury summons available because both the website and the message will refer to your group number listed below your Arkansas has a list of specific excuses that can be used to be exempt from reporting for jury duty, including excuses for military, elected official, student, breastfeeding, age, police, medical worker, firefighter and disability. ) _____ _____ _____ The undersigned states in good faith that the Juror has a medical condition that prevents the Juror from serving on a jury at this time. If the telephone recording is not operational, report for jury duty as directed by your summons. Please be certain that information is written legibly and as much as possible, use plain language to describe the medical condition. However, they will be placed back on the master You can mail or fax your request to the appropriate courthouse below or click here to submit your request via our website. Sandra Day O’Connor Courthouse. 602-322-7278 or 800-736-7322 (long distance) Fax: 602-322-7275. Please check your status before reporting for jury service. You also must include the bottom portion of your summons with your excuse request. Please contact the federal court that selected you for jury service or visit the Jury Service section for more information about jury service. In Nova Scotia, the Juries Act outlines the requirements and processes involved with jury duty. Feb 28, 2022 · Juror Service Center. qov REQUEST FOR MEDICAL EXCUSE FROM JURY SERVICE ARS. If you are disabled, you may request a permanent medical excuse. ____ Short-term: Please estimate when jury service is possible within the next twelve months: _____. Return to Clerk's Home Page. Each district court summons eligible citizens from counties in the district or, if the district . General Excuse from Jury Service . You may also check the status of your request on-line through eJuror. 33 (excluding correctional officers]. Jury Service. courts. A doctor's note may be required. ›. If you have immediate questions regarding jury duty, call the Office of Jury Commissioner's Juror helpline at (800) 843-5879 (THE-JURY). It can be for a limited time, or for life. m. If you have a summons for another date, please check back after 5 p. 5. Dear Doctor: The patient identified above is scheduled to appear for jury duty on the dates indicated. Exclusive domestic relations, mental health, appeals for administrative agencies and lower courts, miscellaneous civil jurisdiction; Misdemeanor. [RETURN TO TOP] Juror Phone Scam Alert: If contacted by a person claiming to be calling from our jury office requesting that you pay a fine because you missed jury duty, do not give that person any information. Upon timely application to the court, the court shall excuse from jury Nevada has a statutory exemption that allows individuals over a certain age to request exemption from jury duty. The Kings County Clerk’s Office has provided a form, on the back of this letter, to simplify your work and satisfy the law’s You may be permanently exempted from jury service for these reasons: Aged 70 or over; Medical reasons (requires a medical certificate) Valid reasons to be excused from jury service are: Medical reasons (requires a medical certificate) Distance (more than 50km from Melbourne County Court, or 60km from the circuit court in your region) May 23, 2024 · Questions regarding jury checks should be directed to the Office of the Jury Commissioner at Maricopa County Superior Court at 602-506-5879. The right to a trial by jury is one of the principles enshrined in the U. ____ Mid-term: Excuse from service this cycle. PIN must be 4 numeric characters. Requests to be excused from jury service must be submitting to the jury coordinator at least 10 days prior to scheduled jury service and should include a daytime phone number. 760-342-6264 (phone) SMS Text - Text your badge number to: 951. Instead call 510-891-6031 or email: jury@alameda. Upon reporting for service jurors can expect to serve for the duration of one trial. You may be disqualified from jury duty if you have a mental or physical disability that keeps you from serving. Alabama has a list of specific excuses that can be used to be exempt from reporting for jury duty, including excuses for military, elected official, breastfeeding, age, police, firefighter and disability. (2) If the request is granted, the jury commissioner must remove the person from the rolls Mar 10, 2022 · Juror Information. 1009) will ALWAYS receive a response. Until you have received a response from the District Court Judge’s Office / Clerk of The jury commissioner must respond to a request for a permanent medical excuse from jury service as follows: (1) The jury commissioner must promptly inform the applicant in writing of the determination to grant or deny a permanent medical excuse request. Click Online Jury Excusal Postponement tab. Grand jurors receive $20 per day. The letter should include: The practitioner’s letterhead, name, address, and BY MAIL: Complete your Jury Summons (Part A) and indicate a date you can serve between 2 and 6 months from the date on your summons and mail back to: COMMISSIONER OF JURORS 225 Griffing Ave. I am writing to request to be excused from jury service because being absent from work would pose an extreme financial hardship. We have set up a jury information line at 1-800-246-7607 that provides detailed information on the types (medical, age, residence, etc. 38031 permanent medical excuse from jury service (California Rules of Court, rule 2. Mar 1, 2021 · Reporting For Service. No exemptions from service due to profession Tennessee has a list of specific excuses that can be used to be exempt from reporting for jury duty, including excuses for elected official, student, breastfeeding, age, police, medical worker and firefighter. 289. Exemptions. Accepted excuses for being relieved of jury duty in Pennsylvania include: extreme hardship. The Jury Management Office will never request this information. Virginia has a list of specific excuses that can be used to be exempt from reporting for jury duty, including excuses for student, age and medical worker. You must call for recorded instructions the evening before your reporting date to determine if your services will be required. Excuses will be granted ONLY for reasons of compelling personal hardship. If you can’t report on that day, you can Serving. gov. Medical Excuse Form Please contact Harris County Jury Assembly at (713) 755-6392 or via e-mail at jury@hcdistrictclerk. PIN: Pin must be filled. Mail to: Jury Commissioner. Download, Fill In And Print Jury Service Medical Excuse Form - Harris County, Texas Pdf Online Here For Free. New Mexico has a list of specific excuses that can be used to be exempt from reporting for jury duty, including excuses for military, elected official, student, breastfeeding, age, police, medical worker and firefighter. Broward County jurors may now electronically request postponements, excusals and view report date. Phoenix. In Ohio, a prospective juror aged 75 or older may request to be excused from further jury service. 401 W. Please fax, or scan and e-mail this form to Jury Administration. California has a statutory exemption that allows individuals over a certain age to request exemption from jury duty. If you have summoned to jury duty and have a question or would like to request an excusal, you should contact the jury manager in the county where you live or where you were summoned. We cannot excuse potential jurors “at their word” and require specific medical documentation to remove a person from the jury pool. Washington Street, SPC 2. You can also be excused if you don't meet the basic eligibility requirements for jury duty in MI . Generally, if you qualify for one of the A person is not eligible for jury service if convicted of a felony, unless restored to civil rights; in the active military; a judge; or a person who the court or jury commissioners find incapable because of mental or physical illness. If you are requesting to be excused from jury service at the Phoenix Municipal Court for reasons related to mental or physical conditions, please have your physician, physician assistant, or registered nurse practitioner (“RNP”) complete and sign the attached form. 505. Jury Duty Medical Excuse Form. ). Therefore, a juror may receive more than one check if that juror served in different weeks. This medical condition prevents the Juror from serving due to mental illness, intellectual disability, senility, or other physical or If your service date is a Monday, you can check anytime throughout the weekend or after 4:30 on the proceeding Friday. Find contact information for your local jury manager. A juror over the age of 70, may be excused from duty due to physical or mental reasons. a medical appointment; full-time student or planned vacation. O. Excuses will be valid for 12 months. Your medical provider should explain your medical condition using this form or in a letter. Author Colorado has a list of specific excuses that can be used to be exempt from reporting for jury duty, including excuses for military, elected official, student, age, police, medical worker, firefighter and disability. Fax to: 916-588-4797. ) of excuses that may be considered, the information you must include in your written request, and any supporting documentation Dec 23, 2021 · REQUEST for MEDICAL EXCUSE from JURY DUTY (Accepted ONLY if completed by a licensed physician) COPIES are not accepted. Mail to: Duval County Clerk of Courts, Attn: Jury May 16, 2014 · May 16, 2014. Excusal requests can be submitted using the online portal or by completing the excusal section on the bottom of the mailed questionnaire. ) which is located on your summons in the juror badge area, displayed on the right in enlarged format. If you serve more than five days, you will receive $40 per day. If this patient is employed please explain why it would be more detrimental to them to serve on the jury rather than their normal employment. If you served on a grand or trial jury within the preceding 12 months. You can either: Complete and return the questionnaire section of the summons by mail; or. Jurors are to report to the Orange County Courthouse at 7:30 am on their first day of service. complete the questionnaire online. You can also be excused if you don't meet the basic eligibility requirements for jury duty in IL . Jury Service Medical Excuse Form - Harris County, Texas Is Often Used In Jury Service, District Clerk's Office - Harris County, Texas, Jury Duty, Texas Legal Forms, Legal And United States Legal Forms. Iowa has a list of specific excuses that can be used to be exempt from reporting for jury duty, including excuses for military, elected official, student, breastfeeding, age, police, medical worker and firefighter. Generally, if you qualify for one of If you have a medical condition that prohibits you from serving on jury duty, you may ask for the medical exemption forms. Apr 10, 2017 · Medical Exemptions for Jury Duty. Please call 407-742-2424 anytime after 5:15p. When requesting a temporary absence, you must make the request a minimum of five (5) days in advance of the date(s) you need to be excused. ____ Long-term: Forever (Requires certification as to what aspect of jury duty is not possible due to the patient’s Deferring jury service is preferred for a temporary or marginal hardship, i. Follow the directions on the summons for postponement or excuse. You need your Juror ID number located on your jury summons. It explains how the individual's mental health condition Jury Office Fax Number (520) 724-3657 REQUEST FOR MEDICAL EXCUSE FROM JURY SERVICE A. All prospective jurors over 70 years of age exempt from serving, by application via affidavit or as prescribed by the summoning court. All requests must be submitted a minimum of ten (10) days prior to your jury service date. immediate family members of homicide victims. Breastfeeding women. Note: This Medical Excuse. What's new? – eJuror Video. You can also be excused if you don't meet the basic eligibility requirements for jury duty in AR . S. The Clerk of Court will issue payment by check by U. ) Excusals. Generally, if you qualify for one of the statutory PATIENTS SHOULD COMPLETE THE ABOVE SECTION, THEN ASK THEIR DOCTOR TO COMPLETE BELOW. Mail requests to: United States District Court, Attn: Jury Section, P. Between the ages of 65-70+ is when potential jurors may file for an age exemption from jury duty. Upon completion of your jury duty, you will be exempt from jury service for one year. com at least one day before you are scheduled to appear. Enter your 9 digit juror identification number (JID No. Cochise County Superior Court Attn: Jury Office P. You can also be excused if you don't meet the basic eligibility requirements for jury duty in NM . 1 or 830. Florida has a list of specific excuses that can be used to be exempt from reporting for jury duty, including excuses for military, student, breastfeeding, age, medical worker, firefighter and disability. Frequently Asked Questions. While jury duty may cause a temporary inconvenience for work or family life, your service is vital to the rule of law. It is an important civic responsibility that all Canadian citizens 18 years of age or older must take seriously. These are District Courts of general jurisdiction which hold jury trials. illness. Requests for excuses and postponements for jury duty must be made by electronically using the requested online form, or by mail. Patient will be able to serve upon becoming eligible again in two years. Effective onMarch 1, 1994. Generally, if you qualify for one of the Juror number 1831132-1831231 must report at the time designated on your summons. United States District Court. You'll need to get a note from a registered physician or Christian Science Practitioner stating the doctor's opinion that you can't serve. Select one: This patient is not employed. EMPLOYER RETALIATION State law prohibits discrimination or retaliation against an employee for taking time off to serve as a juror. you MUST complete the online questionnaire before arrival. Printable Map and Directions. Category: Jury Forms. (Sections 494. Feb 2, 2024 · For the status of your application, you can: call the Jury Information Line on 1300 722 574. Jurors paid $600 or more for their term of service will receive a 1099 form for taxes from the New Jersey Department of the Treasury. Call the Jury Information Line on 1300 722 574 if you need help. gd yi cj uf cm fm ql oo js yd