Linn County Circuit Court
Oregon Judicial Department
Juror Request for Time Off
*
= Required Fields
Panel:
2010
Juror Number:
*
Please Fill In Your Name And Address Below As It Appears On Your Jury Summons.
Last Name:
*
First Name:
*
Middle Name/Initial:
*
Address:
*
Address (continued):
City:
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State:
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
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Zip Code:
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This E-mail address will be used to communicate jury information to you, and will not be provided to any entity outside Linn County Circuit Court.
E-mail Address:
*
Confirm E-mail:
*
DATES YOU ARE UNAVAILABLE:
List any dates you will be unavilable due to vacation, doctor appointment, ect. Unless notified otherwise, you will not be required to serve on those dates. Please list the date(s) you wish to be excused. i.e., 6/1-6/14