Subpoena {LIBC-480}

LIBC-480 - SUBPOENA. This Commonwealth of Pennsylvania Workers’ Compensation Subpoena form is issued by the Pennsylvania Department of Labor & Industry’s Workers’ Compensation Office of Adjudication. It is used to compel a witness to appear at a scheduled hearing or deposition to provide testimony in a workers’ compensation case. Additionally, the form may require the individual or entity to produce specified documents relevant to the claim, particularly concerning the claimant identified in the case. If the subpoena is for a records custodian deposition under 34 Pa. Code § 131.68, the custodian may comply by submitting legible copies of the requested records along with a signed Deposition Affidavit of Records Custodian by a specified deadline. The form includes a clear warning that failure to comply may result in contempt of court penalties. It also outlines who to contact for questions and provides specific instructions not to send the requested records to the judge’s office or the Bureau of Workers’ Compensation. www.FormsWorkflow.com