Full Time Childcare / Care Provider Request for Excusal from Jury Duty (Rev. 3/25) JUR004
Marin Superior Court · Administrative Forms
Verified current as of September 10, 2026
Used by a person summoned for jury duty in Marin County who is a full-time caregiver for a young child or sick, aged, or infirm family member, to request excusal from jury service due to caregiving responsibilities.
This form must be printed and filled by hand, or opened in Adobe Acrobat.