Coweta County, GA · Coweta County
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
Download the Form
Download the Jury Duty Deferral/Excusal Form PDF.
- 2
Complete the Form
Enter your juror information, check one applicable reason, and sign and date the form.
- 3
Gather Listed Attachments
Include any supporting material requested for your selected reason, such as a physician’s statement or travel itinerary.
- 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.
