Affidavit For Deferment From Jury Duty (Full-Time Students)
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Affidavit For Deferment From Jury Duty (Full-Time Students) Form. This is a Georgia form and can be use in Clayton Local County.
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Tags: Affidavit For Deferment From Jury Duty (Full-Time Students), Georgia Local County, Clayton
IN THE SUPERIOR COURT OF CLAYTON COUNTY
AFFIDAVIT FOR DEFERMENT
FROM JURY DUTY
Juror Name:
Juror Address:
I hereby affirm that I am a full-time student at a college, university, vocation school, or other
secondary school and enrolled and taking classes or exams on the dates indicated on my jury
summons. I hereby request to be deferred from jury duty in accordance with OCGA 15-12-1(a)(2).
I am currently enrolled at
in
(Name of School)
and my next two scheduled breaks** in classes will be
/
/
(Month/Date/Year)
and
(City/State)
through
/
/
(Month/Date/Year)
through
/
/
.
/
/
(Month/Date/Year)
(Month/Date/Year)
**SCHEDULED BREAKS MUST INCLUDE A FULL WEEK (Monday through Friday).
day of
This
, 20
.
Prospective Juror’s Signature
This
day of
, 20
Deputy Clerk or Notary Public
(***IF MAILING FORM, YOUR SIGNATURE MUST BE NOTARIZED.***)
LINDA T. MILLER, CLERK SUPERIOR COURT
PLEASE RETURN TO:
ATTN: JURY DIVISION
9151 TARA BOULEVARD
JONESBORO, GA 30236-4912
770-477-3400; fax 770-477-4519
Email: juryclerk@co.clayton.ga.us
****PLEASE NOTE: YOU MAY FAX THIS FORM IN, BUT PLEASE SEND THE ORIGINAL FORM
VIA US MAIL SERVICE. THE ORIGINAL FORM MUST BE RECEIVED & RETAINED BY THIS
OFFICE.
FOR OFFICE USE ONLY:
Juror ID#:
Original date of summons:
Set over date:
Comments:
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