[Your Name]
[Your Address]
[City, State, Zip Code]
[Email Address]
[Phone Number]
[Date]
[Recipient Name]
[Jury Duty Office]
[Office Address]
[City, State, Zip Code]
Dear [Recipient Name],
I am writing to request an excuse from jury duty on [specific date or jury duty period] due to [reason for requesting an excuse, such as a medical condition, work-related responsibilities, or other valid reason]. While I understand the importance of civic duty, I am unable to serve at this time due to [brief explanation of circumstances].
Enclosed with this letter is supporting documentation from [e.g., a doctor, employer] that outlines the specific reasons for my request. I kindly ask for your understanding and consideration in granting this excuse.
Please let me know if any further information or documentation is required. Thank you for your attention to this matter.
Sincerely,
[Your Name]