Louisiana Administrative Code
Title 40 - LABOR AND EMPLOYMENT
Part I - Workers' Compensation Administration
Subpart 3 - Hearing Rules
Chapter 66 - Miscellaneous
Subchapter E - Forms
Section I-6641 - Subpoena for Deposition and Subpoena Deuces Tecum ; Form LDOL-WC-1006A

SUBPOENA FOR DEPOSITION

AND SUBPOENA DUCES TECUM

__________________________________ * DOCKET NO. __________________ DISTRICT

VERSUS * OFFICE OF WORKERS' COMPENSATION

* STATE OF LOUISIANA

TO ___________________________________________

______________________________________________

YOU ARE HEREBY COMMANDED to appear at the office of ________________________________________________

____________________________________________________________

____________________________________________________________,

address__________________________________________________________________________Telephone # ________ at ______________ o'clock ___________

________ .m. on the day of, 20, to have your oral testimony taken in the above entitled and numbered cause.

YOU ARE/ARE NOT (circle one) FURTHER COMMANDED to produce at the above time and place the following:

This SUBPOENA was issued by the Office of Workers' Compensation on the ______________ day of ____________________________, 20________.

_______________________________________

J. KAREN BEVAN, RECORDS MANAGER

Office of Workers' Compensation

_________________________ ____________________________

_________________________

Telephone: ( )________________________

AUTHORITY NOTE: Promulgated in accordance with R.S. 23:1310.1.