Free jury duty excuse letter template 15
Download the document to the computer for easy use
There are more pages to preview,Read on

Affidavit for Excuse or Deferral from Jury Duty
CHILD CARE GIVER
________________________County, Georgia
Juror Name:
(Print name)

________________________________________________

Juror Address:

________________________________________________
________________________________________________

Juror Telephone Number: ________________________________________________
I hereby affirm that I am the primary care giver
having active care and custody of a
child(ren) six years of age orand
younger
that I have no reasonably available alternative child
care and that I request to be excused or deferred from jury duty in accordance with O.C.G.A.
§15-12-1 (a) (3).
This the _________ day of ___________________, 20_____.

Signature: ________________________

the ____ day of ______________, 20___ .
____________________________________
Notary Public
My Commission Expires: ________________________