Phone:
402/439-2222
Fax: 402/439-2200
APPLICATION FOR POSTPONEMENT OF JURY SERVICE
Comes now the undersigned and
requests that his/her term for service as a juror be postponed from
___________________, ______, to a later date by reason of undue hardship,
extreme inconvenience, or public necessity based upon the following facts:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Dated this _____ day of
_______________, ______.
Telephone number where you can be reached:
Work Phone Number: ____________________
Home Phone Number:
___________________
___________________________________
Signature of Juror
___________________________________
Printed Name of Juror
* * * * * * * * * * * * * * *
* * * * * * * * * * * * STOP HERE * * * * * * * * * * * * * * * * * * * * * * *
* * * * *
[ ] The Court, having examined the request made
by the above juror, finds and orders that
said
request should be, and is, denied.
[ ] The Court, having examined the request made
by the above juror, finds and orders that
such
person should be and hereby is, excused from jury service for the period called
by reason of:
_____ Nursing Mother
_____
Undue Hardship
_____
Extreme Inconvenience
_____ Public Necessity
[ ] Service of said juror is deferred to
_________________, ____ or until further summons.
Dated this _____ day of _______________, _____.
___________________________________
District Judge