Wisconsin > Workers Comp
Subpoena WKC-17 - Wisconsin
| Subpoena Form. This is a Wisconsin form and can be used in Workers Comp . |
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SUBPOENA Department of Workforce Development Worker's Compensation Division 201 E. Washington Ave., Rm. C100 P.O. Box 7901 Madison, WI 53707-7901 Telephone: (608) 266-1340 Fax: (608) 267-0394 http://www.dwd.state.wi.us/wc/ e-mail: DWDDWC@dwd.state.wi.us Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04(1)(m)]. State of Wisconsin County: _______________________________________ To: Applicant VS. Respondent Hearing Location (Include Room Number) Hearing Date Hearing Time You are required to appear before the Department of Workforce Development on the day and at the time and place stated above, to give evidence in a controversy heard between the above named applicant and respondent, on the part of: Applicant Respondent You are further required to bring with you the following papers and documents: _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ The subpoena is issued pursuant to s. 102.17 (2) (2m) Wisconsin Statutes. _________________________________________________________________________________________________ Law Firm or Person Issuing Subpoena _________________________________________________________________________________________________ Mailing Address of Law Firm or Person (number, street, city, state, zip code) _______________________________________________________________ Signature of Attorney or Person Issuing Subpoena WKC-17 (R.07/2001) ________________________________ Date of Subpoena American LegalNet, Inc. www.FormsWorkflow.com
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