Jury Duty Exemption Letter Template – Australia

The Jury Duty Exemption Letter Template – Australia is offered in multiple formats, including PDF, Word, and Google Docs. Each version is both customizable and suitable for printing, ensuring that you can easily use it for your requirements.


Sample

Jury Duty Exemption Letter Template – Australia

Editable | Printable



1. Applicant Details



2. Jury Duty Information


3. Reason for Exemption

4. Supporting Documentation

5. Declaration of Truthfulness

6. Date of Application

7. Signature


PDF


WORD

Examples


Jury Duty Exemption Letter Template – Australia (1)
To:
[Court Name]
[Court Address]
[City, State, Postcode]
Date:
[Date]
Subject:
Request for Jury Duty Exemption
Dear Sir/Madam,
I, [Your Full Name],
of [Your Address], [City, State, Postcode], am writing to formally request an exemption from jury duty scheduled for [Date of Jury Duty] due to the following reasons:
Reason for Exemption:
[Clearly state your reason for seeking exemption such as a medical condition, financial hardship, caring responsibilities or any other valid reason. Provide supporting details or documentation if necessary.]
Supporting Evidence:
Attached are copies of documents supporting my request, including [list documents such as medical certificates, financial statements, etc.].
Conclusion:
I respectfully request that you consider my circumstances and grant me exemption from jury duty. I appreciate your understanding and attention to this matter.
Thank you for your consideration.
Sincerely,
[Your Signature]
[Your Full Name]
[Your Contact Number]
[Your Email Address]
Jury Duty Exemption Letter Template – Australia (2)
To:
[Court Name]
[Court Address]
[City, State, Postcode]
Date:
[Date]
Subject:
Application for Exemption from Jury Duty
Dear [Clerk’s Name],
I am [Your Full Name],
living at [Your Address], [City, State, Postcode]. I am writing to request an exemption from the jury duty summons dated [Date of Jury Duty] for the following reasons:
Details of the Circumstances:
[Explain your situation in detail, such as being a primary caregiver for dependents, undergoing treatment for an illness, or any other compelling reason. Be clear and concise.]
Documentation:
I have included relevant documentation to support my request, including [mention any attached documents like medical letters, affidavits, etc.].
Request for Consideration:
I kindly ask that you review my application for exemption under these circumstances and I appreciate your understanding and support during this time.
Thank you for your attention to this matter.
Kind regards,
[Your Signature]
[Your Full Name]
[Your Phone Number]
[Your Email Address]

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Jury Duty Exemption Letter Template - Australia