Request for Medical Excuse from Jury Duty (Rev. 3/25) JUR001
Marin Superior Court · Administrative Forms
Verified current as of July 25, 2026
This form allows prospective jurors to request exemption from jury service based on medical reasons or conditions. Jurors submit this form to the court to seek medical postponement or disqualification from jury duty.
This form must be printed and filled by hand, or opened in Adobe Acrobat.