Official Federal Forms > US Dept Of Labor
Subpoena To Produce Documents Information Or Objects (OALJ) - Official Federal Forms
| Subpoena To Produce Documents Information Or Objects (OALJ) Form. This is a national form and can be used in US Dept Of Labor . |
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(11/2010) Administrative Subpoena to Produce Documents, Information or Objects or to Permit Inspection of Premises Page 1 of 2 United States Department of Labor OFFICE OF ADMINISTRATIVE LAW JUDGES In Re: (Plaintiff/Complainant/Claimant) v. OALJ Case No: (Defendant/Respondent/Employer/Carrier) SUBPOENA TO PRODUCE DOCUMENTS, INFORMATION, OR OBJECTS OR TO PERMIT INSPECTION OF PREMISES To: Production: YOU ARE DIRECTED to produce at the time, date, and place set forth below the following documents, electronically stored information, or objects, and permit their inspection, copying, testing, or sampling of the material: Alternate to Personal Production: You may avoid personally producing the described items at the place set forth below by delivering copies of the described items to the described location on or before the date and time set forth. Place of Production: Date: Time: Inspection: YOU ARE DIRECTED to permit entry onto the designated premises, land, or other property possessed or controlled by you at the time, date and location set forth below, so that the requesting party may inspect, measure, survey, photograph, test, or sample the property or any designated object on it. Place of Inspection: Date: Time: The provisions of Code of Federal Regulations (CFR) 29 CFR §§18.24(c) and 8.15 and Federal Rules of Civil Procedure (FRCP) Rule 45(c), relating to your protection as a person subject to a subpoena, and 29 CFR §§18.24(d) and 18.29(b) and FRCP Rule 45(d) and (e), relating to your duty to respond to this subpoena and the potential consequences of not doing so, are summarized at the end of this form. This subpoena is issued upon the application of (indicate attorney/representative for named party): (Person requesting subpoena) (Address and Telephone Number) Name Address City Phone Number IN WITNESS WHEREOF the undersigned United States Administrative Law Judge has hereunto set his/her hand and caused the seal of the United States Department of Labor to be affixed. State Zip Code Signature of U.S. Administrative Law Judge Date To be valid, a raised USDOL Seal must appear here American LegalNet, Inc. www.FormsWorkFlow.com (11/2010) Administrative Subpoena to Produce Documents, Information or Objects or to Permit Inspection of Premises Page 2 of 2 PROOF OF SERVICE Person served (print name) Date of Service Server (print name) Place of Service Title of Server Manner of Service Unless the subpoena was issued on behalf of the United States, or one of its officers or agents, I have also tendered to the witness fees for one day's attendance, and the mileage allowed by law, in the amount of . DECLARATION OF SERVER I declare under penalty of perjury under the laws of the United States of America that the foregoing information contained in the Proof of Service is true and correct. Address Signature of Server Date City State Zip Code NOTICE: This subpoena is only valid in proceedings before the Office of Administrative Law Judges or Office of Workers' Compensation Programs. To be valid, this subpoena must bear a raised United States Department of Labor (USDOL) seal, and the signature of a Department of Labor (DOL) administrative law judge. HIPPA NOTICE: In regard to the Privacy of Individually Identifiable Health Information under the Health Insurance Portability and Accountability Act of 1996, if this subpoena does not bear a raised USDOL seal and the signature of a DOL administrative law judge, it is not valid under 45 C.F.R. §§164.512(e), 164.512(f) or 164.512(l). PRIOR NOTICE: If the subpoena commands the production of documents, electronically stored information, or tangible things or the inspection of premises before trial, then before it is served, a notice must be served on each party. FRCP 45(b)(1) (Applied by 29 C.F.R. §18.1(a)). Rules of Practice and Procedure for Administrative Hearings Before the Office of Administrative Law Judges, 29 C.F.R. Part 18 29 C.F.R. §18.24 Subpoenas (c) Motion to quash or limit subpoena. Provides that within ten (10) days of receipt of a subpoena but not later than the date of the hearing, the person subject to a subpoena may file a motion to quash or limit the scope of the subpoena with the presiding judge. The motion must state the reasons why the subpoena should be withdrawn or limited in scope. (d) Failure to comply. Provides that any person who fails to comply with an order to testify or a subpoena may be referred to a U.S. District Court for enforcement of the subpoena by the party adversely affected by such failure to comply, when authorized by statute or law. 29 C.F.R. §18.15 Protective orders Provides that the person subject to the subpoena may file a motion to request the presiding judge to protect him or her from annoyance, embarrassment, oppression, undue burden or expense, or to protect trade secrets or other confidential research, development or commercial information. 29 C.F.R.§18.29 Authority of administrative law judge (b) Enforcement. Provides that if any person disobeys or resists a lawful order or process, or neglects to produce, after having been ordered to do so, any pertinent book, paper or document, or refuses to appear after having been subpoenaed, or upon appearing refuses to be examined according to law, the presiding judge may certify facts to the U.S. District Court and request that Court impose appropriate remedies, where authorized by statute or law. Federal Rules of Civil Procedure [Applied by 29 C.F.R. §18.1(a)] Rule 45 Subpoena (c) Protecting a Person Subject to a Subpoena. (c)(1) Provides that the party or attorney responsible for issuing and serving a subpoena must take reasonable steps to avoid imposing undue burden or expense on a person subject to the subpoena and the issuing court must enforce this duty and impose an appropriate sanction on a party or attorney who fails to comply. (c)(2) Provides that, unless ordered to appear for a deposition or hearing, a person ordered to produce documents, electronically stored information, or tangible things, or to permit inspection of premises, need be present at the place of production or inspection. The person subject to the subpoena may also object to producing the documents, electronically stored information, or tangible things, or to permit inspection of premises, by giving written notice to the party or attorney responsible for issuing and serving the subpoena. The written objection must be made before the date of requested performance or 14 days from receiving th
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