Utah > Workers Compensation
Subpoena - Utah
| Subpoena Form. This is a Utah form and can be used in Workers Compensation . |
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3/1/12 STATE OF UTAH - LABOR COMMISSION Division of Adjudication 160 East 300 South, 3rd Floor - P O Box 146615 Salt Lake City, Utah 84114-6615 __________ ____ _______________ ______________ Petitioner, ___________ ____ ___________ __________ ____ _____ Respondent, vs. The People of the State of Utah Send Greetings to: * * * * * * * * * * * * * * * SUBPOENA Case No. _________________________ 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 ______________________ _________________________________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________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. The Labor Commission is not responsible for any witness and mileage fees. LABOR COMMISSION this _____ day of ____________ ______ , 20__________ ________________________ Administrative Law Judge American LegalNet, Inc. www.FormsWorkFlow.com =========================================== =========================================== =========================================== STATE OF UTAH, LABOR COMMISSION } } ss. County of , } , of said County, being duly sworn, says that he served the within Subpoena, 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 DATE PLACE Subscribed and sworn before me this _____________day of _____________ , 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.FormsWorkFlow.com =========================================== ___________________________________________________________ __________________________________________________________ __________________________________________________________ Petitioner, _________________________________________________________ _________________________________________________________ _________________________________________________________ Respondent, 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. ______________________ SUBPOENA vs.
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