La. Admin. Code tit. 40 § I-6643
SUBPOENA AND SUBPOENA DUCES TECUM
_____________ * DOCKET NO. __________________ DISTRICT
VERSUS * OFFICE OF WORKERS' COMPENSATION
_____________ * STATE OF LOUISIANA
TO _______________________________________________________
_____________________________________________________________
YOU ARE HEREBY COMMANDED to appear before the Workers' Compensation Court at
__________________________ Telephone # __________ _______ at o'clock
________ .m. on the________ day of _________, 20, or on any other day that this matter may be continued to give testimony in the above entitled and numbered cause. You must remain in Court until discharged by the Judge. You must testify to the truth, to the best of your knowledge in this case.
YOU ARE/ARE NOT (circle one) FURTHER COMMANDED to produce at the above time and place the following:
FAILURE TO APPEAR OR PRODUCE AS DIRECTED ABOVE SHALL SUBJECT YOU TO ANY PENALTY AS PRESCRIBED BY LAW.
This SUBPOENA was issued by the Office of Workers' Compensation on the ______________ day of __________________________________, 20________ .
___________________________________
J. KAREN BEVAN, RECORDS MANAGER
Office of Workers' Compensation
This SUBPOENA was ordered by Attorney: _________________________ | I hereby certify I have served a copy of this subpoena on all attorneys of record. |
______________________ ________________________
______________________
Telephone: (_____)________________________
La. Admin. Code tit. 40, § I-6643