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Jury Exemption Form

  1. Enter your juror number located next to you name on your jury summons.

  2. Please use the above section should you wish to schedule a reset or request additional accommodation from the Municipal Court Judge.

  3. Email address where you may be contacted

  4. Daytime Contact Number

  5. By choosing submit, you certify under penalty of perjury that you are exempt because of the reason selected above.

  6. Leave This Blank:

  7. This field is not part of the form submission.