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2. 2026 Undue Hardship

   To be excused for the year that you are selected to be a prospective juror, a formal request must be made for excusal consideration. You may complete and submit the Affidavit for Excusal on this page. Paper copies are available upon request. Please contact the Court at (406) 863-2440 or 📧 WhitefishMunicipalCourt@mt.gov for a physical copy of this form.

   Jury service is a duty required of all citizens. Please review the law which permits excusal prior to submitting a request for the Court's consideration: Montana Code Annotated 2023 MCA 3-15-313.

   To avoid technical difficulties, please use a desktop computer and disable any pop-up blockers.

4. First Name*
5. Last Name*
6. Juror Number*
8. Mailing Address*
10. City*
11. State*
12. Zip Code*
13. Is your physical address different from your mailing address?*

    1. Yes
    2. No
15. Physical Address*
16. City*
18. State/Province*
19. Zip Code/Postal Code*
20. Country*
22. Phone Number*
23. Email Address*
27. The above affiant, being sworn on his/her oath, deposes and says:*

    Affiant is informed of having been called as a prospective trial juror in the Municipal Court of Whitefish, Montana. Affiant is applying for the following excusal and request the Court's review:

    1. UNDUE HARDSHIP - Must state occupation and specific facts which Affaint believes constitutes undue hardship; having in mind jury service constitutes a duty of every competent citizen.

29. Note:  Your request may or may not be granted. You will NOT be notified of the Judge's decision. It is your responsibility to contact the Court to confirm whether your excusal request was granted. If the Court denies your excuse for undue hardship, you may again submit a request if you are summoned for a trial. Examples of potential undue hardships include military service, move, college, long-planned vacation, employment out of state, residence out of state, or other unusual personal circumstances.

    * Employment is not an automatic exemption from Jury Duty. Employers must allow employees to serve.

31. Please explain:*

    ⚠️ Warning: Please do not submit personal medical information online. If undue hardship includes medical information, or any information you consider private, you must print the physical form and file it in person or by mail. This online submission is not inherently secure and any information submitted may be intercepted or disclosed without authorization.

    If this applies to you, please exit this online form, and print and complete the Undue Hardship Excusal Request Form (PDF).

35. Electronic Signature Agreement*

    By checking the "I agree" box below, you declare under penalty of perjury and the laws of the state of Montana that the foregoing is true and correct.

    1. I agree.
37. Electronic Signature*

    Please type your first and last name.

41. COURT USE ONLY:

    ▢ APPROVED       ▢ NOT APPROVED

    COMMENTS: 

    MUNICIPAL COURT JUDGE / DATE:

Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit Submit and Print

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