Free To Compel the Production of Documents or Objects other than Individually Identifiable He - Oregon


File Size: 27.0 kB
Pages: 1
Date: December 16, 2005
File Format: PDF
State: Oregon
Category: Workers Compensation
Author: sticeml
Word Count: 171 Words, 1,074 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.cbs.state.or.us/external/wcb/pdf_file/forms/subpoena2.pdf

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Workers' Compensation Board State of Oregon
In the Matter of the Request for Hearing of ) WCB Case No. ) ) SUBPOENA ) To Compel the Production of Documents ) or Objects other than Individually ) Identifiable Health Information

To:

YOU ARE DIRECTED to appear and produce and permit inspection of the following documents or objects at the place, time and date listed below: To be produced:

Place of Production:

Time of Production:

Date of Production:

IN LIEU OF APPEARANCE, you may comply with this subpoena by delivering or mailing copies of the above documents or objects to the party issuing this subpoena at the following address.

Date

Issuer

PROOF OF SERVICE
Person Served (print name) Place of Service Server Signature of Server NOTE: ORS 656.732, 654.130 and 183.445 provide, in applicable cases, that the Circuit Court of any county shall compel obedience to subpoenas issued and served and to punish disobedience or any refusal to testify or answer any lawful inquiry. Date of Service Manner of Service (in person or certified mail) Title of Server (print)