If someone's job is impacted because they are serving on a jury, this form can be filled out and submitted to human resources to make it easier to see what projects are on hold or which coworkers can serve as a replacement. There is also room to note service dates as well as jury duty payment, if applicable.
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This Printable Business Form Template belongs to these categories: employmentrequest
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Jury Duty Employee Work Excusal
Fields: Employee Name, Position/Title, Department, Supervisor, Phone Number, Fax Number, Email Address, Mailing Address, City, State, Zip Code, Today's Date, Jury Start Date, Payment Per Day, Maximum Number of Days, Replacements, Projects on Hold, Notes, Signature, Date.
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