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Kaiser Permanente Northwest is playing catch-up on the quickie doctor scene. If you do not submit this information and later request to be excused on account of financial hardship, your request will likely be denied unless new circumstances have arisen in the interim.Big health provider to open quickie clinic along the lines of ZOOM+Care. If you do not answer all the questions in full, your request will likely be denied. If you are requesting to be excused because of business, employment, or financial hardship, you must provide the following information. Provide this information in the “Requesting an Excuse” section.įinancial / Business / Employment Hardship If you are claiming a hardship because you live 80 miles or more (one-way) from the court, you must explain your hardship and why staying overnight at the court’s expense would not relieve that hardship. (Provide this information on the first question of the online questionnaire.) If you are completing the questionnaire for someone else, please provide your name and relation to the person summoned.

If you are requesting to be excused because you have an obligation to care for children, the elderly, or other dependents and you are unable to engage in full-time employment outside your home, please provide an explanation regarding your work arrangements, the type of care you provide, include the ages of those for whom you care for.

Please fax the doctor's note to 21 or e-mail it to Care / Care of a Dependent If you are employed, you must also include a doctor’s note. You must fully explain your situation on the questionnaire. Please fax proof of your prior jury service to 21 or e-mail it to If you participated in the jury selection process but were not selected, you cannot claim this excuse. This excuse is for those people who have actually heard testimony. All requests to be excused from jury service must be submitted in writing.