Jury Duty Exemption Letter

Do you require a letter to exempt you from Jury Duty? Complete the form below which will be given to your GP. - By sending in this form you are agreeing to receive email and/or sms communications from us. We will only use this information to communicate with you about Penicuik Medical Practice and the service we provide.

Last Updated: 03/08/2023

Patient Details

Personal details belonging to the patient

Name *

Date of Birth *

Address: *

Contact number: *

Email address: *

Jury Duty Details

Details of your Jury duty attendance

Citation Number *

Court Date *

REASON FOR EXEMPTION *

Personal ID Number *

We email the exemption letter, as this is the preferred option by the jury service. Please indicate below if another approach is needed *

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Jury Duty Exemption Letter

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