Jury Duty Excuse Letter From a Doctor — How to Get One
A jury duty excuse letter from a doctor confirms that a medical condition prevents you from serving or makes it unsafe. Courts usually want two things: your own written request, and the doctor's note backing it up. This template creates your request letter, and the guidance below explains what to ask your doctor to include.
Your details
No account needed. Your letter updates as you type.
Live preview
Free to preview[Your full name (as it appears on the summons)]
[Your mailing address]
October 15, 2026
[Court or jury office the letter is to]
Re: Juror number [Juror ID or summons number] — request regarding service on [Date you're summoned to appear]
Dear Jury Commissioner,
I have received a summons to appear for jury service on [Date you're summoned to appear] (juror number [Juror ID or summons number]). I take this civic duty seriously, and I am writing to respectfully request the following: [What you're asking for].
The reason for my request: A medical condition.
[Explain your situation]
I have enclosed any supporting documents I have, and I can provide more information if the court needs it. Please let me know your decision in writing at the address above. Until I hear from you, I will plan to follow the instructions on my summons.
Thank you for considering this request.
Respectfully,
[Your full name (as it appears on the summons)]
- Clean PDF + editable Word (.docx)
- No watermark, print-ready on US Letter
- Download link emailed to you
One-time payment, secure checkout by Stripe. FairLetter is not a law firm and does not provide legal advice. Letters are templates you customize and send yourself.
What the doctor's note should say
A useful note is short. It should be on the provider's letterhead, give your full name, confirm that you are a patient, state the condition or describe it generally, explain how it prevents or limits jury service, and say whether it is temporary or long-term. It should be signed and dated.
If the court has its own medical form, give that form to your doctor instead of asking for a general letter. Forms are processed faster because they answer exactly what the court needs.
How to ask your doctor
Call or message your provider's office with a copy of your summons and the court's form, if any, and ask how long it usually takes. Some offices need a week or more, and some charge a small fee for paperwork.
Be honest about your limits when you ask. The doctor can only state what is true, and a note that matches your own letter is the most convincing.
Send both together
Mention the enclosed doctor's note in the details section of your letter, as the example does, and send them together. If you submit online, upload both documents.
Keep copies. If your condition is long-term and you are excused, the same note may help if you are summoned again, though some courts ask for an updated one.
What to do, step by step
Read your summons carefully
Find your juror number, the reporting date and the deadline to respond. Many courts list the accepted reasons for excusal and say whether requests go online, by mail or by phone.
Choose excusal or postponement
Courts grant postponements far more readily than full excusals. If your problem is temporary — a trip, exams, a busy season at work — asking to serve later is usually the better request.
Fill in your letter
Answer the questions above. Be specific and honest: explain why serving on that date would be a real hardship, not just an inconvenience.
Attach supporting documents
Include whatever backs up your reason — a doctor's note, travel itinerary, class schedule, pay records or a letter from your employer. Write your juror number on each page.
Send it before the deadline and follow up
Submit it the way your summons says, keep a copy and proof that you sent it, and plan to appear as scheduled unless the court confirms your request in writing.
What if your request is denied or you don't hear back?
Until the court tells you otherwise, assume you still have to appear. Sending a letter doesn't automatically excuse you, and failing to show up for jury duty can lead to a follow-up notice, a fine or an order to explain your absence to a judge.
If you haven't heard back a week or so before your date, call or email the jury office listed on your summons, give your juror number and ask whether your request was received. Many courts also let you check your status online.
If your request is denied, you can often still ask for a postponement instead, or raise your hardship in person when you report — judges sometimes excuse jurors during selection when serving on a long trial would be a genuine burden.
Example jury duty excuse letter from doctor
A filled-in sample with made-up details, so you can see the finished result.
Priya Natarajan
2045 Harbor View Dr, Apt 12, Fairmont, CA 94110
October 5, 2026
Jury Commissioner, Fairmont County Superior Court
Re: Juror number J-20391857 — request regarding service on November 9, 2026
Dear Jury Commissioner,
I have received a summons to appear for jury service on November 9, 2026 (juror number J-20391857). I take this civic duty seriously, and I am writing to respectfully request the following: Excusal from jury service.
The reason for my request: A medical condition.
I am undergoing chemotherapy every two weeks at Fairmont Cancer Center, and my treatment is expected to continue through at least March 2027. My immune system is weakened, and my oncologist has advised me to avoid crowded indoor settings. A letter from my oncologist, Dr. Samuel Okonkwo, is enclosed.
I have enclosed any supporting documents I have, and I can provide more information if the court needs it. Please let me know your decision in writing at the address above. Until I hear from you, I will plan to follow the instructions on my summons.
Thank you for considering this request.
Respectfully,
Priya Natarajan
Frequently asked questions
Can my doctor just write the letter for me?
Your doctor's note confirms the medical facts, but most courts also expect a request from you, the person summoned, with your juror number. Sending both makes your request complete and easy to process.
Does the note have to come from a medical doctor?
Many courts accept statements from other licensed providers, such as nurse practitioners, physician assistants, psychologists or chiropractors, depending on the condition. Check your court's rules if your provider is not a physician.
What if I can't get a doctor's note before my service date?
Send your own letter on time, explain that a note is on the way, and ask for a postponement if needed. Contact the jury office by phone to let them know. Do not simply ignore the summons.
What are acceptable reasons to be excused from jury duty?
Courts commonly accept serious financial hardship, a medical condition that makes serving difficult, being the sole caregiver for a child or dependent adult, and being a full-time student. Many also postpone service for pre-paid travel or a temporary work crunch. The exact list varies by state and court, so check your summons or the court's website.
Is it easier to get a postponement than an excusal?
Usually, yes. Courts need jurors, so they tend to reschedule people with temporary conflicts rather than excuse them entirely. Offering specific dates when you could serve shows good faith and makes it easier for the jury office to approve your request quickly.
FairLetter is not a law firm and does not provide legal advice. Letters are templates you customize and send yourself.