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SUPPLEMENTAL EXCUSAL OR POSTPONEMENT REQUEST

SUPPLEMENTAL EXCUSAL OR POSTPONEMENT REQUEST Jury trials are a crucial part of our justice system and we want you to know that we re taking safe steps to protect jurors performing their civic duty . At this time, the Chief Judge of the 13th Judicial Circuit of Hillsborough County has authorized additional juror excusals and postponements to enhance juror safety, mitigate the spread of COVID-19, and to address hardships related to the ongoing pandemic. TO REQUEST AN EXCUSAL , complete this form and mail, fax or email it before your jury duty report date to Hillsborough County Clerk of Circuit Court, ATTN Jury Services, PO Box 3388, Tampa FL 33601-3388, Fax: (813) 272-5568, Email: EXCUSAL requests cannot be accepted by phone; they must be in writing. If you meet the requirements for EXCUSAL or POSTPONEMENT as listed below, your service will automatically be excused or postponed. EXCUSAL REQUEST Check all that apply. Under penalty of perjury*, I state that: I meet one or more of the following Screening Exclusions: I am awaiting a COVID-19 test result based on symptoms or suspected exposure.

mitigate the spread of COVID-19, and to address hardships related to the ongoing pandemic. TO REQUEST AN EXCUSAL, complete this form and mail, fax or email it before your jury duty report date to Hillsborough County Clerk of Circuit Court, ATTN Jury Services, PO Box 3388, Tampa FL 33601-3388, Fax: (813) 272-5568, Email:

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