Application for Exemption or
Excusal from Jury Service
Scottish
Court Service
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If you wish to appl y for exemption or excus al from jury service, pleas e read thi s form and the
‘Guide to Jury Service
Eligibility and Applying for Excusal’
car efu ll y befor e com pl eti n g it.
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Please use a black pen onl y, and write in BLOCK CAPITALS.
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Tick boxes as appr op ri at e. If you make a mistake/tick the wrong box, shade in the box, initial it, and mark the correct box.
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On compl eti o n please return this to:
Location (from the front of your citation)
Send to
If you have been cited to the SHERIFF COURT
The court address on the front of your citation
If you have been cited to the HIGH COURT in
EDINBURGH
Justiciary Office, Parliament House, Parliament
Square, Edinburgh EH1 2NT
If you have been cited to the HIGH COURT in
GLASGOW
The Sheriff Clerk’s Office, Glasgow Sheriff and JP
Court, 1 Carlton Place, Glasgow G5 9DA
If you have been cited to the HIGH COURT
anywhere else
The court address on the front of your citation
Part 1 – About you
Please Note: You must fill in this section carefully or the court will not be able to find your records. Your
application for excusal or exemption can only be considered if this section is completed.
1. Name
Date of Birth:
2. Address
Email address:
3. Personal ID number:
(This can be found on the front of your citation
form)
4. Citation number :
(This can be found on the front of your citation form)
5. Court cited to:
(See the front of your citation)
High Court Sheriff Court
(tick the appropri at e box)
6. Dat e cited to attend:
(This is on the front of your citation form)
7. Please prov i de any dayt i me telephone numbers wher e we can contact you bet wee n 9:00a m and 5:00pm. This is solel y
so that we can cont ac t you quickly wi th any further i nfor ma ti o n. It will not be used for any other purpos e.
Are any of the det ail s you have pr ovi de d differ e nt to thos e on your jury citation? If so, pleas e pr ovi d e the detai l s that appear on
your jury citation below.
Full Name:
Please enter all your names
Address:
Postcode email:
Scottish Courts and
Tribunals Service
