LSC-JUR-100LocalFillable

Request for Permanent Medical Excuse from Jury Service

Lassen Superior Court · Local Forms

This form was updated 35 days ago — make sure you're using the latest version.

Last updated June 26, 2026

The JUR-100 form allows people to ask the court to permanently remove them from jury duty because of a medical condition that makes them unable to serve. Someone would use this form if they have a serious, ongoing health problem that prevents them from sitting in court for extended periods and don't want to be called for jury duty again.

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