The questionnaire MUST be filled out in its entirety. You must include, or submit separately, a letter from your doctor or any other pertinent information if you are requesting to be excused or postponed from service.

The following excuses are accepted by the court by request and proper documentation.

1. Any person over the age of 70 years old who makes a showing of physical infirmity, travel difficulties, undue hardship, or extreme inconvenience. You MUST complete the online juror questionnaire and request to be excused.
2. Persons having full time care and custody of their child or children, under the age of ten years old whose health and/or safety would be jeopardized by their absence for jury service. You MUST provide the age of your children when prompted.
3. Persons who are essential to the full time care of aged or infirmed persons in their custody. You MUST provide a specific physicians letter stating that you are the full time care giver of a person in a custody.
4. Any person who has served FIVE (5) or more days of STATE court jury service in the past three years. You MUST provide a copy of your certificate of STATE court jury service.
5. Any person having served FEDERAL court jury service in the past three years. You MUST provide a copy of your Certificate of Jury Service, a copy of your FEDERAL jury summons or indicate the date(s) served.
6. Volunteer safety personnel who serve without compensation as firefighters or members of a rescue squad or ambulance crew for a public agency. You MUST provide proof of your volunteer status.

Medical or Caregiver Requests

If you are requesting an excuse or postponement due to a medical condition, a letter from a licensed medical professional is required. This also applies to requests made on the basis of being a full-time caregiver. The letter may be submitted by either you or your doctor and should preferably be in PDF format. You may send it via email or fax using the contact information provided below. If you are currently employed, you will need to provide your work schedule with your submission.

Postponement Requests Due to Extreme Hardship

If you are requesting a postponement due to extreme hardship, you may submit your request by email or letter. Please include a clear explanation of the reason for your request. All hardship-related postponement requests are reviewed on a case-by-case basis.

Divisional Office	Email	Phone	Fax
Boston	ejury@mad.uscourts.gov	617-748-9082	617-204-5810
Springfield	ejurysfd@mad.uscourts.gov	413-785-6833	413-781-9471
Worcester	ejurywor@mad.uscourts.gov	508-929-9900 press 5 to speak with a Jury Clerk	508-929-9908