[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-285623-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-285623-en":126},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","affidavit-for-excuse-or-deferral-from-jury-duty-child-care-giver","Affidavit for Excuse or Deferral from Jury Duty - Child Care Giver","","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.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/affidavit-for-excuse-or-deferral-from-jury-duty-child-care-giver/285623/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/affidavit-for-excuse-or-deferral-from-jury-duty-child-care-giver/285623.png","ImageObject",442,249,{"name":42,"@type":43},"Aladdin","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-03","2026-09-17",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",15,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What is the purpose of this affidavit?","Question",{"text":63,"@type":64},"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.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What legal statute supports this request?",{"text":68,"@type":64},"The request is made in accordance with O.C.G.A. § 15-12-1.1(a)(3).",{"name":70,"@type":61,"acceptedAnswer":71},"Is the request automatically granted?",{"text":72,"@type":64},"No, the request is not automatic; a member of Jury Services may contact the juror for clarification regarding the information provided.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},285623,1790461204,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,103,108,112,117,122],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":55,"doc_module":22,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},"Posters",60,"posters",{"id":104,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},16,"Social Media",50,"social-media",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":110,"slug":111},17,40,"forms",{"id":113,"doc_module":22,"doc_module_name":25,"category_name":114,"show_sort_weight":115,"slug":116},18,"Letters",30,"letters",{"id":118,"doc_module":22,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},21,"Paper Templates",5,"papers-templates",{"id":123,"doc_module":22,"doc_module_name":25,"category_name":124,"show_sort_weight":4,"slug":125},158,"General","general-158",{"code":4,"msg":82,"data":127},{"doc_id":79,"user_id":128,"nickname":42,"user_avatar":129,"doc_module":22,"category_id":109,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":135,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":12,"update_tm":139,"read_time":4},2336478503145,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Affidavit for Excuse or Deferral from Jury Duty – Child Care Giver Juror Name: (Print Name)  \nJuror Address:  \nJuror Cell: (  )   -   \nJuror Email Address:    \n(Juror MUST provide legible, valid contact information for this form to be processed. Juror’s request isnot automatic. You may be contacted by a member of Jury Services for clarification.)  \nBadge Number:   Service Date:    \nI hereby affirm that I am the primary care giver, having active care and custody of a child six years of age or younger, and that I have no reasonably available alternative child care and that I request to be excused or deferred from jury duty in accordance with O.C.G.A. §15-12-1.1(a)(3) .  \nSignature:    \nSubscribed and sworn before me this   , 2  . (DATE)  \n\n|  |\n| --- |\n|  |\n\nNotary Public Commission Expiration Date  \nSeal:","cbCaiqpiMSjCV0mq","https://ap.wps.com/l/cbCaiqpiMSjCV0mq","pdf",263269,"English","# Affidavit for Excuse or Deferral from Jury Duty\n## Juror Information\n## Statement of Primary Care Giver\n## Notarization","[{\"question\":\"What is the purpose of this affidavit?\",\"answer\":\"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.\"},{\"question\":\"What legal statute supports this request?\",\"answer\":\"The request is made in accordance with O.C.G.A. § 15-12-1.1(a)(3).\"},{\"question\":\"Is the request automatically granted?\",\"answer\":\"No, the request is not automatic; a member of Jury Services may contact the juror for clarification regarding the information provided.\"}]","Affidavit for Excuse or Deferral from Jury Duty - Child Care Giver | PDF",1789630127]