State of California Department of Industrial Relations Office of the California Department of Industrial Relations LABOR COMMISSIONER ) ) ) vs. SUBPOENA DUCES TECUM ) TAC ) ) THE PEOPLE OF THE STATE OF CALIFORNIA SEND GREETINGS TO: . YOU ARE COMMANDED to appear at a hearing to be held in the office of the Labor Commissioner of the State of California at _______ City ___________ Office name _____ , day of _______________________ Street , , on the , , at o'clock ___ M., to testify in the above-stated case. YOU ARE ALSO REQUIRED to bring with you: OBEDIENCE TO THIS SUBPOENA IS ENFORCEMABLE THROUGH THE SUPERIOR COURT By order of State Labor Commissioner , 200__ By CONTACT THE ATTORNEY WHO SIGNED THIS SUBPOENA BEFORE THE DATE YOU ARE REQUIRED TO APPEAR IF YOU HAVE ANY QUESTIONS ABOUT THE TIME AND DATE TO APPEAR OR IF YOU WANT TO BE CERTAIN THAT YOUR PRESENCE AT THE HEARING IS REQURIED. Attorney for the Labor Commissioner Telephone: American LegalNet, Inc. www.FormsWorkflow.com DECLARATION SUPPORTING SUBPOENA DUCES TECUM Case No. declares that he/she is Attorney/Complainant/Defendant in the action captioned on the reverse hereof, or a Deputy Labor Commissioner. has in his/her That possession or under his/her control the books, papers and documents described on the reverse hereof. That said documents are material to the issue(s) involved in these proceedings for the following reasons: ____________ _________________ I declare under penalty of perjury that the foregoing is true and correct. Executed on , 200__, at County of California. ____________________________________________ Signature DECLARATION OF SERVICE STATE OF CALIFORNIA, County of I, the undersigned, state that: I served the foregoing subpoena by showing the original and delivering a true copy thereof, together with a copy of the Declaration in support thereof, to each of the following named persons, personally, at the date and place set forth opposite each name. Name of Person Served ___ ___ ___ ___ I declare under penalty of perjury that the foregoing is true and correct. Executed on , 200__, at , California. ____________________________________________ Signature Date of Service __ __ __ __ Place American LegalNet, Inc. www.FormsWorkflow.com