JUR004Local

Full Time Childcare / Care Provider Request for Excusal from Jury Duty (Rev. 3/25) JUR004

Marin Superior Court · Administrative Forms

Verified current as of July 25, 2026

This form allows full-time childcare providers to request to be excused from jury duty service due to their caregiving responsibilities. Childcare providers submit this form to the court to explain why their work makes jury service a hardship.

This form must be printed and filled by hand, or opened in Adobe Acrobat.
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