Care Provider Exemption Record
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Care Provider Exemption Record Form. This is a California form and can be use in Marin Local County.
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Tags: Care Provider Exemption Record, JUR004, California Local County, Marin
JUR004 FULL TIME CHILDCARE / CARE PROVIDER REQUEST FOR EXCUSAL FROM JURY DUTY Rev. 8/2/17 MARIN COUNTY SUPERIOR COURT OFFICE OF JURY SERVI CES P.O. Box 4988 San Rafael, CA 94913 - 4988 (415) 444 - 7120 Fax: (415) 444 - 7121 Email: jury@marincourt.org JUROR ID# Your relationship to person(s) cared for Age(s) of child(ren) being cared for Type of care you provide TELEPHONE NUMBER FULL TIME CHILDCARE/CARE PROVIDER REQUEST FOR EXCUSAL FROM JURY DUTY If you have a verifiable, non-professional obligation to provide personal care for American LegalNet, Inc. www.FormsWorkFlow.com
