Ucla Jury Service Verification Slip Page 2

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UCLA Procedure 640.1
Page 2 of 2
IV. PROCEDURES
RESPONSIBILITY
ACTION
Employee
Receives notice to serve on Superior or Municipal Court jury.
Notifies supervisor of dates and location of jury service.
Supervisor
Provides employee with verification slip (sample – attachment A) prior to jury
service.
Note: If absence would cause great hardship to the University, department
chairperson or equivalent administrative officer prepares a letter describing nature of
hardship and requesting excuse and forwards it to the court where it is either accepted
or rejected. The Office of Campus Counsel will provide assistance in drafting the
letter.
Employee
Serves on jury and obtains verification from Court Clerk, including: number
of days of jury service, location (e.g., Van Nuys Superior Court, Department
15), names of employee and Court Clerk, and dated signature of Court Clerk.
Returns verification slip to supervisor and resumes campus activities.
V. ATTACHMENTS
A. Jury Service Verification Slip
Issuing Officer
/s/ Ruie Arnett
Assistant Vice Chancellor, Campus Human
Resources
Questions concerning this policy or procedure should be referred to
the Responsible Department listed at the top of this document.

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