Reporting Location Grand Rapids Kalamazoo Lansing Marquette Participant Number * (Nine digit number located on the front of your summons.) E-Mail Address * Summons Date * Year Year202520262027 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Age * If requesting a deferral, please provide the date when you will be available: Year Year202520262027 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Medical Excuse? Yes No A doctor's note must be provided (special form not required). Please use the box below to state your reason for requesting an excuse or deferral. If you are requesting a partial excuse, please provide the specific dates you are unavailable.
