Grant Maloy, Clerk of the Circuit Court and Comptroller
You may submit this form electronically, by fax, or by U.S. mail.
A reasonable effort will be made to notify you if your request has been approved or denied. However, if you do not receive written or telephonic communication from this office, you must report on the assigned date.
Please provide the following information, and enter your name, reporting date, and juror number as it appears on your jury summons.
If your jury excusal is due to an address change, according to Fla. Stat. S. 322.19, you must notify the Department of Highway Safety and Motor Vehicles of these changes within 10 days. The failure to do so is considered a non-moving violation, punishable by a civil penalty of $30 under Fla. Stat. S. 318.18(2).
Under Florida Statutes, you may not serve on a jury if you check any of the following:
You have the option of being excused if you check any of the following:
Any request for excusal or postponement should be received at least ten (10) days prior to your report date.