Stanton County
Clerk
of District Court
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