Free 07-6112 - Alaska


File Size: 71.8 kB
Pages: 1
File Format: PDF
State: Alaska
Category: Workers Compensation
Author: BASCJAR
Word Count: 78 Words, 1,055 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.labor.state.ak.us/wc/forms/wc6112.pdf

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Preview 07-6112
ALASKA WORKERS COMPENSATION BOARD POUCH 7-019 ANCHORAGE, ALASKA 99510 ) ) ) ) ) Employee, ) ) ) ) vs. ) ) ) ) Employer. ) ) ) ) ________________________________________) To:

S U B P O E N A Case No. _______________

_______________________________________________________ _______________________________________________________ _______________________________________________________

You are commanded to appear and testify before the Alaska Workers Compensation Board on the ______________ day of _______________, 19 _____, at ______________. m., at _________________________________________________ __________________________________________________________________________. This subpoena is issued on the application of ________________________ __________________________________________________________________________. Alaska law requires you to appear. DATED at Juneau, Alaska, this ________day of ________________, 19 ___.

ALASKA WORKERS COMPENSATION BOARD

By _____________________________________

Form 07-6112 (formerly ADL 207) (Rev. 3/94)