SUBPOENA FOR DEPOSITION
AND SUBPOENA DUCES TECUM
__________________________________ * DOCKET NO. __________________ DISTRICT
VERSUS * OFFICE OF WORKERS' COMPENSATION
* STATE OF LOUISIANA
TO ___________________________________________
______________________________________________
YOU ARE HEREBY COMMANDED to appear at the office of ________________________________________________
____________________________________________________________
____________________________________________________________,
address__________________________________________________________________________Telephone # ________ at ______________ o'clock ___________
________ .m. on the day of, 20, to have your oral testimony taken in the above entitled and numbered cause.
YOU ARE/ARE NOT (circle one) FURTHER COMMANDED to produce at the above time and place the following:
This SUBPOENA was issued by the Office of Workers' Compensation on the ______________ day of ____________________________, 20________.
_______________________________________
J. KAREN BEVAN, RECORDS MANAGER
Office of Workers' Compensation
This SUBPOENA was ordered by Attorney: _________________________ | I hereby certify I have served a copy of this subpoena on all attorneys of record. |
_________________________ ____________________________
_________________________
Telephone: ( )________________________
La. Admin. Code tit. 40, § I-6641