The following persons, by statute, and no others, may claim an exemption from jury service if the person wishes to do to. If you have a legal exemption, which you desire to claim, select the appropriate statement.
If you are seeking a student exemption, list the school you are attending.
Under Penalty of Perjury, I certify the above is true and correct. (A signature is acquired by typing your name above).*
This field is not part of the form submission.
* indicates a required field