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AO 224

Request for Excuse

Federal · United States Courts · Effective March 1, 1994

This form is used to ask the court to excuse you from jury service. If you want to be excused, you must write a letter explaining your reasons and also get a letter from your doctor about your ability to serve in the future.

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 when a person wishes to request to be excused from jury service in a United States District Court.

Either party may file.

Common questions

Who should fill out this form?
The form is addressed to the juror, and the text states that requests must come from the jurors themselves.
What do I need to submit with this form?
You must write a letter to the office explaining your reasons for being excused. You also need to get a letter from your doctor about your ability to serve in the future.

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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