MD Request for Medical Excuse from Jury Service - Baltimore City 2021-2025 free printable template

This document is a request form for jurors to seek a medical excuse from jury duty due to a personal health condition, requiring completion by a licensed physician.

How to fill out jury duty excuse form

How to fill out MD Request for Medical Excuse from Jury Service

1. Obtain the MD Request for Medical Excuse from Jury Service form from the official court website or request it from the court clerk.
2. Complete your personal information at the top of the form, including your name, address, and contact information.
3. Provide the jury summons details, including the date you are required to appear and your juror number.
4. Consult with your healthcare provider to obtain the necessary medical documentation that supports your request for an excuse.
5. Attach the medical documentation to the request form, ensuring it clearly states your condition and the need for an excuse from jury service.
6. Sign and date the form, certifying that the information provided is accurate and truthful.
7. Submit the completed form and medical documentation to the appropriate court office by mail or in person, making sure to keep a copy for your records.
8. Follow up with the court if you do not receive confirmation of your request.

Who needs MD Request for Medical Excuse from Jury Service?

1. Individuals who have received a jury summons and believe they are unable to serve due to a medical condition.
2. People with temporary or permanent disabilities that prevent them from fulfilling their jury duty obligation.
3. Those who have been advised by a healthcare provider not to attend jury service due to health concerns.

People Also Ask about baltimore city jury duty excuse form

How to get a medical excuse from jury duty in Baltimore City?

The Request for Medical Excuse from Jury Service form “Medical Form” will only be accepted if completed and signed by a licensed physician. Send all faxes to the attention of the Jury Commissioner at (410) 333-0057. Original forms are preferred and may be mailed or hand-delivered to the Jury Office.

How often can Baltimore City call you for jury duty?

There may be occasions when the jury selection process lasts longer than one day and then you are required to attend a second day. You can be called once a year for jury service.

Can you wear jeans to jury duty Maryland?

What is the dress code for jury duty? Out of respect for the Court; please, do not wear jeans, t-shirts, shorts, gym clothes, tank tops or half shirts. If you have a job where uniforms are required, please do not wear the uniform for jury duty.

What can I bring to jury duty Baltimore City?

Jurors are permitted to bring reading materials and other electronic devices for personal entertainment. Headphones must be worn in the assembly areas if listening to music, videos, etc. You may also want to bring a sweater or a jacket since the temperature varies throughout the Courthouse.

What disqualifies you from jury duty in Maryland?

Can I be excused from jury service? Under certain very limited circumstances, you can be excused from jury service. You must show that excusal is required because of extreme inconvenience, public necessity, or undue hardship. Being excused is intended to be used only for the most serious of situations.

What do you wear to jury duty in Baltimore City?

Proper Dress is required. Uniform type attire (e.g., medical, law enforcement, military, etc.) should not be worn for jury service. Abbreviated clothing such as shorts, muscle shirts, halter tops, bare midriff, etc., are not acceptable court attire.

How do I get excused from jury duty in Baltimore City?

Attention Jurors: The Request for Medical Excuse from Jury Service form “Medical Form” will only be accepted if completed and signed by a licensed physician. Send all faxes to the attention of the Jury Commissioner at (410) 333-0057. Original forms are preferred and may be mailed or hand-delivered to the Jury Office.

How does jury duty work in Baltimore City?

If you receive a summons to report for Jury Duty, you must: After 5:00 p.m. on the evening before your summons date, call 410-333-1555 and listen carefully to the recorded message for your reporting number. The message will identify the reporting number of prospective jurors who must report as scheduled.

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What is MD Request for Medical Excuse from Jury Service?

MD Request for Medical Excuse from Jury Service is a formal document submitted by an individual seeking to be excused from jury duty due to medical reasons.

Who is required to file MD Request for Medical Excuse from Jury Service?

Individuals who have a medical condition that prevents them from fulfilling their jury service obligation are required to file the MD Request for Medical Excuse.

How to fill out MD Request for Medical Excuse from Jury Service?

To fill out the MD Request for Medical Excuse, individuals need to provide their personal information, details of the jury service, and a doctor's note or medical documentation to support their request.

What is the purpose of MD Request for Medical Excuse from Jury Service?

The purpose of the MD Request for Medical Excuse is to ensure that individuals who cannot serve due to legitimate medical reasons are granted an exemption from jury duty.

What information must be reported on MD Request for Medical Excuse from Jury Service?

The MD Request for Medical Excuse must report personal details (such as name and contact information), the date of jury service, medical condition specifics, and any supporting medical documents.