Subpoena Form. This is a Utah form and can be use in Workers Compensation.
Tags: Subpoena, Utah Workers Compensation,
STATE OF UTAH - LABOR COMMISSION Division of Adjudication Revised 7/2005 160 East 300 South, 3rd Floor - P O Box 146615 Salt Lake City, Utah 84114-6615 * * * * * * * * * * * * * * * Petitioner, vs. Respondent, SUBPOENA Case No. ____________________ The People of the State of Utah Send Greetings to: WE COMMAND YOU, that all and singular, business and excuses being laid aside, you appear and attend before the LABOR COMMISSION At__________________________________________________________________________________________________________ __________________________________________________________________________________________________________ on the____ day of , 20 , at o’clock M., then and there to testify in the above-entitled matter, now pending before the LABOR COMMISSION, on the part of ____________________________________ ____________________________________________________________________________________________________________ __________________________________________________________________________________________________________ and that you bring with you and produce the following described documents, papers, books and records, to wit:______________________________ ________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________and for a failure to attend you may be deemed guilty of a contempt and liable for penalties as provided by law. Witness: The party requesting the Subpoena is responsible for any witness and mileage fees. LABOR COMMISSION this day of , A.D. 20 The Labor Commission is not responsible for any witness and mileage fees. Administrative Law Judge American LegalNet, Inc. www.USCourtForms.com =============================================== SUBPOENA =============================================== ___________________________________________________ Respondent, ___________________________________________________ ___________________________________________________ vs. ____________________________________________________ Petitioner, _____________________________________________________ _____________________________________________________ ================================================ State of Utah – Labor Commission Division of Adjudication 160 East 300 south, 3rd Floor – P O Box 146615 Salt Lake City, Utah 84114-6615 ================================================= No. ______________________ STATE OF UTAH, LABOR COMMISSION } } ss. County of , } , of said County, being duly sworn, says that he served the within Subpeona, by showing the said within original to each of the following persons named therein, and delivered a true copy of said persons, personally at the time and place set opposite their respective names, to wit: NAME Subscribed and sworn before me this _____________day of DATE PLACE , 20 . _____________________________________________________________________________________________________________________ (Certificate to be executed when Subpoena served by a peace or other official) I hereby certify that I served the within Subpoena by showing the said within original to each of the following persons named therein, and delivered a true copy to each of the said persons, personally, at the time and place set opposite to their respective names to wit: NAME DATE PLACE _____________________________________ Title of Officer American LegalNet, Inc. www.USCourtForms.com