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T Employer Department of Labor Other: Describe the documents to be subpoenaed: Have you or your client requested these documents from the original source prior to this request for a subpoena? Is this information available from any other source? Yes If yes, state date and result: No Yes If yes, describe the source: No How are these document(s) relevant to your client s appeal? Subpoena should be directed to: Name of witness Company Name Address City, State, ZIP Telephone / Fax Please S.

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