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AO 223

Notice of Excuse

Federal · United States Courts · Effective March 1, 1994

This form is a notice from the court that tells a person what the court has decided about their jury service summons. It lists several options regarding whether the person needs to report for jury duty.

The court describes it as: Note: This form is primarily used by district courts to manage juries. Please contact the federal court that selected you for jury service or visit the Jury Service section for more information about jury service.

Open the official PDFfrom United States Courts

Where this fits in a case

General & info

Information / general use — not tied to one step of a case

This form is used by the court to manage jury service after a person has received a summons for jury duty.

Prepared by the court or clerk.

Common questions

What is this form for?
This form is a notice from the court about the status of a jury service summons.
Who receives this form?
It is addressed to a Juror.
Does this form tell me if I have to show up?
It lists several options, including whether the person is not required to report or if they are temporarily excused.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect March 1, 1994.

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