Excuse/Postponement Form

Please provide the following information

LAST NAME:
FIRST NAME:
APPEARANCE DATE:
JUROR NUMBER:
HOME TELEPHONE:
BUSINESS TELEPHONE:
COUNTY:
E-MAIL ADDRESS:

DISQUALIFICATION

Please indicate the reason for disqualification.

POSTPONEMENT

You may request one postponement to a later date. Please indicate the reason for postponement.

Business

Hardship

Caring for Infant

Temporary Medical

Out of Town

Pregnancy

Student/Military

Other

YOUR REQUEST FOR EXCUSE/POSTPONEMENT MUST BE APPROVED. PLEASE EXPLAIN THE REASON YOU ARE REQUESTING TO BE EXCUSED OR POSTPONED (100 words or less)

Reasonable effort will be made to notify you if your request has been approved or denied. If you do not receive notification from this office, you must report as summoned.

If you have requested postponement of juror service, please indicate the date (not to exceed 6 months) you are available for service.

I REQUEST POSTPONEMENT THROUGH:

Colorado State Judicial Branch