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Judicial Subpoena Duces Tecum (Records Only) - New York

Judicial Subpoena Duces Tecum (Records Only) Form. This is a New York form and can be used in General .
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COURT COUNTY OF .......................................................... : : : : Plaintiff(s) : -against: : : : Defendant(s) .......................................................... Index No. Calendar No. JUDICIAL SUBPOENA DUCES TECUM (RECORDS ONLY) THE PEOPLE OF THE STATE OF NEW YORK TO: GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you (check one box): make available, by the day of , 20 ,1 and permit the party seeking discovery, or someone acting on his or her behalf, to inspect, copy, test or photograph the following: deliver to and accurate copies of the following: , by the day of , 20 ,1 complete All papers or other items delivered pursuant to this subpoena shall be accompanied by a copy of this subpoena. IF THIS SUBPOENA IS ADDRESSED TO A NON-PARTY: The reason this disclosure is necessary is:2 IF THIS SUBPOENA IS ADDRESSED TO A NON-PARTY MEDICAL PROVIDER FOR PATIENT'S RECORDS: Written authorization from the patient is attached. (Records shall not be provided unless this subpoena is accompanied by a written authorization by the patient.) 3 1 2 Per CPLR §3120, parties must be given no less than 20 days after the service of this subpoena. Per CPLR §3101(a)(4). 3 Per CPLR §3122: "Any subpoena served upon a medical provider requesting the medical records of a patient shall state in conspicuous bold faced type that the records shall not be provided unless the subpoena is accompanied by a written authorization by the patient." American LegalNet, Inc. www.FormsWorkflow.com Your failure to comply with this subpoena is punishable as a contempt of court. Witness, Honorable in County, this , one of the Justices of the day of , 20 Court . (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No. American LegalNet, Inc. www.FormsWorkflow.com
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