Coweta County, GA · Coweta County

No notary required

Jury Duty Deferral/Excusal Form

Coweta County jurors use this form to request a deferral or excusal and provide their contact details and the reason for their request.

At a glance

Issued by
City of Coweta County · Coweta County, Coweta County, Georgia
Notarization
Not required: file this form without a notary.
Official source
coweta.ga.us
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

The Jury Duty Deferral/Excusal Form lets a juror provide information and select a listed reason for requesting a deferral or excusal from jury service. It asks for the juror’s contact details, date of birth, service date, selection number, signature, and date. Depending on the reason selected, the form calls for supporting material such as a physician’s statement, proof of a home study program, or travel reservations.

Who needs it

A Coweta County juror seeking a deferral or excusal for one of the circumstances listed on the form should complete it.

How to submit it

Email the completed form to [email protected] or mail it to 72 Greenville Street, Newnan, Georgia 30263.

About notarization

This form has no notary block; the juror signs and dates it, and listed supporting documents are attachments rather than notarized steps.

How to submit this form

  1. 1

    Download the Form

    Download the Jury Duty Deferral/Excusal Form PDF.

  2. 2

    Complete the Form

    Enter your juror information, check one applicable reason, and sign and date the form.

  3. 3

    Gather Listed Attachments

    Include any supporting material requested for your selected reason, such as a physician’s statement or travel itinerary.

  4. 4

    Submit to the County

    Email the form to [email protected] or mail it to 72 Greenville Street, Newnan, Georgia 30263.

Frequently asked questions

Do I need a notary for the Jury Duty Deferral/Excusal Form?
No. The form has no notary block; the juror signs and dates it. Any supporting documents listed for the selected reason are attachments, not notarized steps.
How do I submit the Jury Duty Deferral/Excusal Form?
Email the completed form to [email protected] or mail it to 72 Greenville Street, Newnan, Georgia 30263.
What information does the form ask for?
It asks for the juror’s name, address, phone number, date of birth, jury service date, selection number, reason for the request, signature, and date.
Does the form list documents to attach?
Yes. Depending on the reason selected, it lists supporting items such as a physician’s statement, proof of a home study program and school calendar, or travel reservations.

Need something notarized?

This Jury Duty Deferral/Excusal Form doesn’t need a notary, but if you have another Coweta County form that does, a commissioned online notary can help.