Request for Excuse from Jury Service - Age
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
This form is used by people who have been called to serve on a jury but want to ask the court to let them skip jury duty because of their age. Someone who is elderly or believes their age makes it difficult for them to serve would fill out this form and submit it to the court.
This form has fillable fields — you can complete it directly in the viewer on the right.