Request for Medical Excuse from Jury Duty (Rev. 3/25) JUR001
Marin Superior Court · Administrative Forms
Verified current as of September 10, 2026
Used by a person summoned for jury duty (or their authorized representative) to request an excusal due to medical incapacity, requiring a supporting letter from a health care provider.
This form must be printed and filled by hand, or opened in Adobe Acrobat.