Please complete the form below and select your reason for excusal.
If your specific reason is not listed, select other and explain your reason for excusal in the comment box.
This form is sent to the Clerk and you will receive an automatic response informing you of your next step once submitted.
Enter your Juror Pool number, Juror ID number and Date Summoned as it appears on your summons. Check the applicable reason for disqualification or excusal then click on the SEND button.