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1. Recipient Information: Full contact details of the Court Officer/Jury Administrator, including court name and address
2. Date: Current date of letter writing
3. Reference Information: Jury summons reference number and scheduled jury duty dates
4. Subject Line: Clear indication that this is a Jury Duty Excuse Request
5. Employee Information: Full name, address, and contact details of the summoned employee
6. Request Statement: Clear and concise statement requesting excuse from jury duty
7. Reason for Request: Primary justification for seeking excuse from jury service
8. Employer Details: Company name, position of the person writing the letter if different from employee
9. Closing: Professional closing, signature block, and contact information
1. Business Impact Statement: Detailed explanation of how the employee's absence would significantly impact business operations, used when this is the primary reason for excuse
2. Alternative Dates: Proposed alternative dates for jury service, included when requesting postponement rather than complete excuse
3. Medical Information Reference: Reference to attached medical documentation, included when excuse is sought on medical grounds
4. Prior Jury Service: Details of any previous jury service within recent years, included if relevant to the excuse request
5. Travel Commitments: Information about pre-arranged business travel or commitments, included when these conflict with jury duty dates
1. Medical Certificate: If excuse is sought on medical grounds, attach relevant medical documentation
2. Travel Documentation: Copies of pre-booked travel arrangements if relevant to the excuse request
3. Employee Critical Role Evidence: Documentation supporting claims about the employee's critical role, such as organizational charts or project schedules
Contact Details
Request Statement
Employee Role Description
Business Impact
Operational Necessity
Alternative Arrangements
Supporting Evidence Reference
Professional Qualifications
Medical Circumstances
Prior Service History
Declaration of Truth
Signature and Authorization
Banking & Finance
Healthcare
Technology
Manufacturing
Retail
Education
Professional Services
Public Sector
Construction
Telecommunications
Transportation
Energy
Agriculture
Hospitality
Media & Entertainment
Human Resources
Legal
Operations
Administration
Executive Office
Personnel Management
Corporate Services
Employee Relations
Chief Executive Officer
Managing Director
Human Resources Manager
Department Head
Line Manager
Team Leader
Operations Manager
Project Manager
Legal Counsel
HR Director
Personnel Administrator
Office Manager
Executive Assistant
Department Supervisor
Business Unit Director
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