Jury Duty Deferral Letter Template

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[Your Name]
[Company Name]
[Address]
[City, State, Zip]
[Date of Letter]
[Recipient’s Name]
[Title]
[Company Name]
[Address]
[City, State, Zip]
Subject: Juror #____ Requests Deferral from Jury Duty service.
Dear [Recipient’s name],
I am writing this letter to request to be excused from jury duty on ____/ ____/______ because I am a
full time mother of a six month year old son.
Making babysitting arrangements is not possible due to not being able to afford child care at this time.
Please put my name back in the lottery, I would be glad to serve on a jury at a future date.
I appreciate your understanding of my situation. Please contact me at the above phone number if you
have any further questions.
Thank you,
[Sign here]
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