Affidavit for Excuse or Deferral from Jury Duty - Child Care Giver

Sep 17, 2026

Uploaded by Aladdin

This document provides a formal legal template for individuals serving as primary care givers for children aged six or younger to request an excuse or deferral from jury duty service in Fulton County, Georgia. The form requires essential contact information, including the juror's name, address, phone number, and email address, to facilitate official review by Jury Services. It cites the relevant Georgia legal code, O.C.G.A. § 15-12-1.1(a)(3), and requires the applicant to verify their status through a sworn statement in the presence of a notary public. This fillable document serves as a standardized administrative tool to ensure that individuals with significant childcare responsibilities can formally petition the court system while maintaining accurate documentation for their jury service records.

LanguageEnglish

CategoryForms

FormatPDF

Pages1

AccessFree to download

Affidavit for Excuse or Deferral from Jury Duty

Juror Information

Statement of Primary Care Giver

Notarization

FAQs

What is the purpose of this affidavit?

This affidavit allows a primary child care giver of a child six years of age or younger to request to be excused or deferred from jury duty.

What legal statute supports this request?

The request is made in accordance with O.C.G.A. § 15-12-1.1(a)(3).

Is the request automatically granted?

No, the request is not automatic; a member of Jury Services may contact the juror for clarification regarding the information provided.

Sep 17, 2026

Uploaded by Aladdin