Excuse Employee from Jury Duty Letter

for Your State

This Excuse Employee from Jury Duty Letter effectively requests that an employee of a small company be excused from serving on a jury. This letter sets out the specific reasons and can be easily modified to fit your needs.

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This Excuse Employee from Jury Duty Letter will effectively request that an employee of a small company be excused from jury duty. This letter sets out the name of the employee and the date the jury duty will commence. It also sets out specific reasons why the employee's absence from work would create a hardship on the company, as well as the employee. A well-written Excuse Employee from Jury Duty Letter is of benefit to both the company and the individual. This letter can easily be modified to fit your company's unique needs.

This Excuse Employee from Jury Duty Letter includes:
  • Employee Information: Sets out the name of the employee and the date he or she has been called to jury duty;
  • Excuse Information: Gives specific reasons and examples as to why the employee should be excused from serving on a jury.

Protect yourself and your company by using our attorney-prepared forms.

This attorney-prepared packet contains:
  1. General Instructions
  2. Excuse Employee From Jury Duty Letter
State Law Compliance: This form complies with the laws of all states
Number of Pages3
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#32715
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.

Letter to Excuse Employee from
Jury Duty

This package contains:

1. Instructions & Checklist for Writing a Letter to Excuse Employee from Jury Duty

2. Letter to Excuse Employee from Jury Duty

Instructions & Checklist for a Letter to Excuse Employee from Jury Duty

?   This package contains: (1) Instructions & Checklist for a Letter to Excuse Employee from Jury Duty; and (2) Letter to Excuse Employee from Jury Duty. 

?   This form is designed to assist you in drafting a letter to a court officer requesting that an employee be excused from jury duty because his absence from work would cause hardship for your company.

?   Be sure to include any “enclosures” mentioned in the letter. If there are no “enclosures” you may delete “Enclosure” from the bottom of the letter.
?   Be sure to sign the letter and to make a copy before sending it out.

?   Bracketed instructions may be included on this form to assist you in completing it and should be removed before printing. Generally in Microsoft Word, you can click on the bracketed instruction and start typing.

?   These forms are not intended and are not a substitute for legal advice. These forms should only be a starting point for you and should not be used without consulting with an attorney first. An attorney should be consulted before negotiating any document with another party.

?   The purchase and use of these forms, is subject to the Disclaimers and Terms of Use found at findlegalforms.com.

[Your Name]
[Street Address]
[City, State  ZIP Code]
[phone number - optional]
[email address - optional]

May 19, 2009
[Name of Recipient][Title][Company Name][Street Address][City, State  ZIP Code]Re:  [Name of Your Employee]

Dear [Name of Recipient]:

I am the employer of the above-referenced individual, who has received notice that she must be available for jury duty commencing on [Date], and am writing to advise you that her absence from my business during the time period indicated would impose a serious hardship not only on my business, but on the people we serve, and on Ms. [Employees Last Name] herself.

We are a small company involved in providing essential services to the underprivileged population in the area. Because of earlier government budget cuts, Ms. [Employees Last Name] is currently our only office employee, and her understanding of the procedures is critical to the operation, especially at this time of the year, our busiest. There is no way we could hire an untrained replacement for the period she would be on leave; moreover, I do not have the budget to pay her during any such leave.

Frankly, without her help during this upcoming busy time of the year, I would be in danger of losing my business  my only source of income.

Moreover, Ms. [Name] has written me a note advising me that she cannot afford to take leave for jury duty.  With her permission, I am enclosing a copy for your attention.


[Your Name]

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