La. Admin. Code tit. 40 § I-6645
SUBPOENA AND SUBPOENA DUCES TECUM
* DOCKET NO. DISTRICT
VERSUS * OFFICE OF WORKERS' COMPENSATION
* STATE OF LOUISIANA
TO ___________________________________________
______________________________________________
YOU ARE HEREBY COMMANDED to appear before the Workers' Compensation Court at
_______________________________________________________________________________________________________________________ ,
_______Telephone # ___________at____________ o'clock
________ .m. on the____________ day of, 20|___________, or on any other day that this matter may be continued to give testimony in the above entitled and numbered cause. You must remain in Court until discharged by the Judge. You must testify to the truth, to the best of your knowledge in this case.
YOU ARE/ARE NOT (circle one) FURTHER COMMANDED to produce at the above time and place the following:
FAILURE TO APPEAR OR PRODUCE AS DIRECTED ABOVE SHALL SUBJECT YOU TO ANY PENALTY AS PRESCRIBED BY LAW.
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-6645