[{"id":"a5873fa3-34dd-4bec-8535-52fd8971d3be","order":1,"text":"JURY SERVICE LEAVE — REQUEST AND EMPLOYER RESPONSE","fontSize":"20","textAlign":"center","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true},{"id":"364fea20-6ca4-42e8-904f-35ee475638af","order":2,"text":"Statutory leave for attendance at jury service","fontSize":"14","textAlign":"center","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"1bf86599-a71f-461a-81e0-a1d5d99c0c10","order":3,"text":"THE PARTIES","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10"},{"id":"ccf3646f-3f13-4ee0-bf6d-de580e91e9ad","order":4,"text":"Employer: [Employer name], a [Type of organisation, e.g. private limited company] whose registered or trading address is [Employer address] (the \"Employer\").","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"5fb4c453-7990-4e51-b702-c905d2bcbb06","order":5,"text":"Employee: [Employee full name], employed as [Job title] at the Employer's [Place of work / site] (the \"Employee\"). The Employer and the Employee are together referred to as the \"Parties\".","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"985c2dbc-7d29-4140-b7cf-919865c544d4","order":6,"text":"Payroll / staff reference: [Payroll or staff reference].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true,"displayConditions":[{"field":"dfe2cb81-0cfc-49c8-8f5c-37a2268eecac","value":"1","type":"add","operator":"="}]},{"id":"01d9c2e2-b91d-4eee-96fa-b28640138c35","order":7,"text":"This form records a request for, and the grant of, leave of absence for jury service. It is a record of the arrangements agreed between the Parties and does not vary the Employee's contract of employment except to the limited extent expressly stated in the paragraph headed \"Pay Arrangements During Jury Service\".","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"cdef5ab9-f297-465e-90af-e5e8ffb4b9c2","order":8,"text":"1. THE JURY SUMMONS","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10","sectionNum":"S01"},{"id":"dcb9483a-01c6-4cdd-817e-7ee1870dadc5","order":9,"text":"The Employee has been summoned to attend jury service. Attendance for jury service is a public duty. A person who is summoned has a legal obligation to attend unless excused or deferred by the court, and an employer must not prevent or penalise an employee for complying with that obligation.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"46168983-aa90-4a85-a5d5-38b4ac17bed0","order":10,"text":"Summoning court: [Name of the court, e.g. Manchester Crown Court].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"e9b9e212-26d9-4c4f-bb3f-45f4642ff711","order":11,"text":"Juror number: [Juror number shown on the summons].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"7d518d03-5bee-47fe-926a-70c758253530","value":"1","type":"add","operator":"="}]},{"id":"267913b0-17e8-4e34-8a28-e177b00d65b6","order":12,"text":"Date on which attendance is first required: [First day of attendance].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"2c61639a-18b3-4f3e-af8c-d5895b271b75","order":13,"text":"Estimated duration of service: [Estimated duration, e.g. 10 working days], as indicated by the court. The Employee understands that this period is an estimate only and may be shortened or extended by the court, and that attendance may fall on non-consecutive days or may take the form of a standby or call-in arrangement directed by the court.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"1b01f4e0-8039-4832-a4b8-d905c5af8663","order":14,"text":"2. PART A — THE EMPLOYEE'S REQUEST AND ACKNOWLEDGEMENT","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10","sectionNum":"S02"},{"id":"561a0308-3759-42cf-8853-de28707f87fc","order":15,"text":"I confirm that I received the summons described above on [Date the summons was received] and that I am required to attend jury service. I have read this form and understand the arrangements it records.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"7c2be374-db1b-4b59-9f7f-328b02176e3a","order":16,"text":"I hereby request authorised leave of absence from work for the full period of my attendance, together with any reasonable additional time directed by the court. I undertake to keep the Employer informed of my expected return, to provide a copy of the summons and any certificate of attendance on request, and to notify the Employer promptly if I am released early, excused, or if my service is deferred to a later date.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"47d3aae4-e3fd-41af-92b9-9d239e8c785c","order":17,"text":"I request that the Employer complete and return to me any Certificate of Loss of Earnings and National Insurance Contributions provided with the summons, so that I may claim the allowances payable by the court in respect of any loss of earnings.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true,"displayConditions":[{"field":"567df150-f7ab-4677-8681-2ab1ae733921","value":"1","type":"add","operator":"="}]},{"id":"3e46206e-4dec-45d4-b9e8-b6b83a307841","order":18,"text":"3. PART B — THE EMPLOYER'S RESPONSE AND CONFIRMATION","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10","sectionNum":"S03"},{"id":"580944b5-fd9f-49ab-a28d-54aad0c95905","order":19,"text":"The Employer acknowledges the Employee's request and confirms that authorised leave of absence is granted for the purpose of jury service for the following period, subject to adjustment in line with any direction of the court:","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"9275885e-f4f6-48bc-9709-c5ec2a5a1688","order":20,"text":"Approved leave commencing on [Leave start date] and continuing until the Employee is discharged by the court, with an anticipated return to work on [Anticipated return date].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"4de57543-85fd-4551-9406-2f563699aa31","order":21,"text":"4. PAY ARRANGEMENTS DURING JURY SERVICE","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10","sectionNum":"S04"},{"id":"5dce5b17-6a22-4c8c-b2be-701795f67592","order":22,"text":"There is no statutory right to be paid by the Employer during jury service. The arrangement applying to the Employee's pay during the period of leave is as follows:","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"023725fc-fc78-4cd5-adce-499fa0b76f56","order":23,"text":"The Employer will continue to pay the Employee's normal salary or wages in full for the duration of the jury service. Where the court pays the Employee an allowance for loss of earnings, the Employee shall account to the Employer for that allowance, so as to avoid double recovery.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"2acde648-497b-410f-aa14-bd2908116b27","value":"full","type":"add","operator":"="}]},{"id":"c9834151-710e-47f3-90e4-e1fa22f37151","order":24,"text":"The Employer will continue to pay the Employee's normal salary or wages in full for the first [Number of fully paid days] working days of jury service. After that period, the Employee will not be paid by the Employer and may claim the loss-of-earnings allowance payable by the court. Where the court pays an allowance in respect of any day for which the Employer also pays in full, the Employee shall account to the Employer for that allowance.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"2acde648-497b-410f-aa14-bd2908116b27","value":"topup","type":"add","operator":"="}]},{"id":"43ecaddc-86b2-41ab-b8d3-2dfd19c657ec","order":25,"text":"The Employer will not pay the Employee's salary or wages during the period of jury service. That period will be treated as unpaid authorised leave, and the Employee may claim the loss-of-earnings allowance payable by the court. The Employer will, on request, complete the Certificate of Loss of Earnings to enable that claim.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"2acde648-497b-410f-aa14-bd2908116b27","value":"unpaid","type":"add","operator":"="}]},{"id":"b0c0c838-e760-4f5d-8291-a401b768c46e","order":26,"text":"Any sums payable to or recoverable from the Employee under this paragraph will be reconciled through the next available payroll run following the Employee's return to work.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"c34005d4-135a-44fb-8eeb-41bf59b58eec","order":27,"text":"5. CONTINUITY, ANNUAL LEAVE AND BANK HOLIDAYS","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10","sectionNum":"S05"},{"id":"cf8cc1bd-c0e7-4d82-bc52-19b6dce11274","order":28,"text":"The period of jury service counts as continuous employment. The Employee's contractual benefits, including pension contributions and the accrual of annual leave, continue to accrue during the period of leave as if the Employee were at work, save as expressly varied by the pay arrangement set out above.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"85bf63bc-e29e-4706-aaf3-7b2b2c0c0df9","order":29,"text":"Statutory and contractual annual leave continues to accrue during jury service and is not reduced by it. Where a bank or public holiday, or a day on which the Employee would normally take paid annual leave, falls within the period of jury service, the Employee's entitlement to that day is preserved and, where it cannot reasonably be taken, will be carried forward in accordance with the Employer's normal leave arrangements.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"e239b06f-a7a0-4612-b72f-ff63fda035f0","order":30,"text":"6. RETURN TO WORK","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10","sectionNum":"S06"},{"id":"1773aece-711d-40c4-b442-846bc03b152d","order":31,"text":"The Employee will return to the same job, on the same terms and conditions, on the working day following discharge by the court. If the Employee is released by the court on any day, or for any part of a day, and it is reasonable to do so, the Employee will report this to the Employer and may be required to attend work for the remainder of that day.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"03790056-0c51-4c5d-844b-75f5f5b289ac","order":32,"text":"The Employee will give the Employer reasonable notice of the actual return date as soon as it is known, and will provide any certificate of attendance issued by the court if requested.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"98a7d2d0-cdc9-4a03-a288-28904d701b26","order":33,"text":"7. LONG TRIALS, EXCUSAL AND DEFERRAL","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10","sectionNum":"S07"},{"id":"2d4aed5b-da69-45dd-9aa1-b6d398edeac7","order":34,"text":"Where the demands of the business make the Employee's absence genuinely difficult at the time of the summons, the Employer may ask the Employee to apply to the court for the service to be deferred to a more convenient date. Any such request is without prejudice to the Employee's obligation to comply with the summons if deferral is refused. Service may ordinarily be deferred only once and only within the twelve months following the original date.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"d34cedef-2480-4a5e-9944-a801287b3590","order":35,"text":"If it becomes apparent that the trial is likely to be unusually long, the Parties will discuss the position in good faith as soon as practicable. The Employee may bring any genuine hardship to the attention of the court, and the Employer will deal sympathetically with any request by the Employee for additional support during an extended absence. Nothing in this paragraph requires the Employee to seek to avoid jury service.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"054ab45c-18a8-448a-995f-713968fa510f","order":36,"text":"8. PROTECTION FROM DETRIMENT AND DISMISSAL","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10","sectionNum":"S08"},{"id":"624d510c-e199-47da-984a-cf390a0fbc6a","order":37,"text":"The Employer confirms that the Employee will not be subjected to any detriment, and will not be dismissed, for having been summoned to, or for having attended, jury service. The Employee's right to this protection arises under section 43M of the Employment Rights Act 1996 and, in relation to dismissal, under section 98B of that Act. In addition, section 54 of the Coroners and Justice Act 2009 makes it an offence for an employer to discriminate against an employee on the ground of jury service. The obligation of the Employee to attend arises under the Juries Act 1974.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true,"displayConditions":[{"field":"21eab22d-cc81-48af-b412-0276228ae73c","value":"scotland","type":"remove","operator":"="}]},{"id":"7b604476-77b0-43f6-977e-e8caf26571c7","order":38,"text":"The Employer confirms that the Employee will not be subjected to any detriment, and will not be dismissed, for having been cited to, or for having attended, jury service. The Employee's protection against detriment short of dismissal arises under section 43M of the Employment Rights Act 1996, which applies in Scotland, and a dismissal for performing jury service will be treated as unfair. Citation for, and the conduct of, jury service in Scotland are governed by the law of Scotland, including the Criminal Procedure (Scotland) Act 1995 and the Court of Session and sheriff court rules, under which a cited person must attend unless excused or the citation is deferred.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true,"displayConditions":[{"field":"21eab22d-cc81-48af-b412-0276228ae73c","value":"scotland","type":"add","operator":"="}]},{"id":"99a071e4-df8e-4bcd-988e-30073391ff6b","order":39,"text":"9. RECORDS AND CONFIDENTIALITY","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10","sectionNum":"S09"},{"id":"c8716a41-0c5e-4e49-aa53-abe077dc055d","order":40,"text":"The Employee will not disclose to the Employer, or to any other person, anything said or done in the course of the jury's deliberations, disclosure of which is prohibited by law. The Employer will retain this form and any supporting documents as a record of the leave granted, and will process any personal data contained in them only for that purpose and in accordance with applicable data protection law.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"ecec89af-4284-42f0-b059-4fffbeb17510","order":41,"text":"10. GENERAL","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10","sectionNum":"S10"},{"id":"f79ae2e8-fbec-443c-a925-6a0b690ddc9c","order":42,"text":"This form, together with the summons to which it relates, records the entire understanding between the Parties as to the leave granted for the jury service described in it. Save as expressly stated in the paragraph headed \"Pay Arrangements During Jury Service\", it does not vary the Employee's contract of employment.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"29bdbc3d-422c-4d27-b9bf-341b5a06aa7c","order":43,"text":"If any provision of this form is found to be invalid or unenforceable, that provision will be severed and the remaining provisions will continue in full force and effect. No failure or delay by either Party in exercising any right under this form operates as a waiver of that right.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"60d9b54f-7c6d-430b-83a4-8fd8bf384696","order":44,"text":"This form may be signed in any number of counterparts, each of which when signed is an original and all of which together form one and the same document. An electronic or scanned signature has the same effect as a manuscript signature.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"4256e76c-96ae-4176-ac00-b10022306507","order":45,"text":"11. GOVERNING LAW","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10","sectionNum":"S11"},{"id":"e2a689c0-cdd4-4724-9f10-45584d8066a5","order":46,"text":"This form and the leave it records are governed by the law of England and Wales and the Parties submit to the jurisdiction of the courts of England and Wales.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true,"displayConditions":[{"field":"21eab22d-cc81-48af-b412-0276228ae73c","value":"ew","type":"add","operator":"="}]},{"id":"083dbc61-1121-4668-b641-d55050b2d5b7","order":47,"text":"This form and the leave it records are governed by the law of Scotland and the Parties submit to the jurisdiction of the Scottish courts.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true,"displayConditions":[{"field":"21eab22d-cc81-48af-b412-0276228ae73c","value":"scotland","type":"add","operator":"="}]},{"id":"07b3c337-34b4-4506-aac4-18f8fb660360","order":48,"text":"This form and the leave it records are governed by the law of Northern Ireland and the Parties submit to the jurisdiction of the courts of Northern Ireland.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true,"displayConditions":[{"field":"21eab22d-cc81-48af-b412-0276228ae73c","value":"ni","type":"add","operator":"="}]},{"id":"dec65853-b35a-4bf5-b406-5bc697421291","order":49,"text":"SIGNATURES","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10"},{"id":"f42eddc9-2b6f-4224-88f6-3e01522f7746","order":50,"text":"Signed for and on behalf of the Employer by [Name of the employer's representative], [Position held].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"c58c7d52-9476-42cf-b27d-3230ed09b1f6","order":51,"text":"Employer signature: ______________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"2eef3185-e1e2-470e-8987-66d7e7d8e553","order":52,"text":"Date: [Date of employer signature]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"296df953-0e5b-440f-97fc-b9d528f3b029","order":53,"text":"Signed by the Employee:","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"22f5f43e-0d4b-4137-8e42-cacba0fef76f","order":54,"text":"Employee signature: ______________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"d400c552-36c7-489f-8407-654cb382275f","order":55,"text":"Date: [Date of employee signature]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true}]