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Alabama Sample Letter to Workers Compensation Commission for Issuance of Subpoena

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US-0949LTR
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This form is a sample letter in Word format covering the subject matter of the title of the form.

Subject: Alabama Sample Letter to Workers Compensation Commission for Issuance of Subpoena Dear [Recipient's Name], I hope this letter finds you well. I am writing to request the issuance of a subpoena by the Alabama Workers Compensation Commission in relation to an ongoing workers' compensation claim. The details of the case and the specific information sought under this subpoena are outlined below. Case Details: Claimant's Name: [Claimant's Name] Date of Injury: [Date of Injury] Employer's Name: [Employer's Name] Claim Number: [Claim Number] Reason for Subpoena: This subpoena is necessary to obtain certain evidence or information that is crucial to the resolution of the aforementioned workers' compensation claim. The requested information is believed to be in possession of the following party: Name of Party: [Party's Name] Title: [Party's Title] Company/Organization: [Party's Company/Organization] Address: [Party's Address] Phone Number: [Party's Phone Number] Information Requested: Under this subpoena, we request the following information/documentation to be provided by the aforementioned party: 1. Employment records: All employment records pertaining to the injured worker, including but not limited to job duties, work schedules, performance evaluations, and any disciplinary actions. 2. Medical records: Complete medical records related to the treatment of the injured worker, covering the period leading up to and following the date of injury. This includes all diagnostic reports, charts, test results, therapy notes, and treatment plans. 3. Wage and compensation information: Any documentation detailing the claimant's wages, salary, bonuses, and any other forms of compensation from the date of hiring to the present. This also includes any potential changes or modifications to the claimant's pay structure during the relevant period. 4. Employment policies and procedures: Any documents outlining the employer's policies, regulations, or procedures related to workplace safety, injury reporting, and workers compensation. 5. Witness statements: Statements from any witnesses involved or present at the time of the incident leading to the workers' compensation claim, as well as any witness statements regarding the claimant's injuries or subsequent medical treatment. Dissemination of Information: Please be advised that any materials produced in response to this subpoena are requested to be sent directly to my attention at the following address: [Your Name] [Your Address] [City, State, Zip Code] [Your Phone Number] [Your Email Address] I kindly suggest that the requested materials be provided in a timely manner, as they are vital for the fair adjudication of the claim. Any costs incurred in producing these materials will be reimbursed promptly upon request. Thank you for your prompt attention to this matter. Sincerely, [Your Name] [Your Title/Position] [Your Company/Organization]

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Alabama workers' compensation law requires all employers that regularly employ five or more employees to have workers' compensation coverage. Alabama's Workers' Compensation Division administers the state's workers' comp system. Workers' comp is important because it can help protect both employers and employees.

Proper notice of the accident and injury must be given to the employer. (The law requires that notice be given within five days, but in any case notice must be given within ninety days following the accident. Actual knowledge has been held to be equivalent to statutory notice.)

A complaining party may use the Alabama Department of Labor Discrimination Complaint/Grievance Form to file a complaint with Alabama Department of Labor. This form is available at a local Career Center or by contacting the EEO Officer at 334-956-5835.

Based upon an approved claim, and after the 3-day waiting period, payment will be 66 2/3% of the employee's average weekly wage subject to the maximum and minimum. This is also depending on the authorized treating physician's approval of the missed days from work.

What is the Statute of Limitation of a workers' compensation claim? Two years from the date of injury or two years from the date of last compensation payment.

Alabama state laws allows LLC members, corporate officers, sole-proprietors, and partners to exclude themselves from workers' compensation coverage. Owners may elect to be exempt from insurance coverage by filing a written certification of their election with the state and the insurance carrier providing coverage.

How to File a Workers' Compensation Claim in Alabama 5 critical steps to take following a workplace injury. Step 1: Notify your employer. Step 2: Seek medical attention. Step 3: Make certain your employer files the necessary form. Step 4: Wait to receive a decision from the insurance company.

Although you are generally prohibited from suing your employer or a co-worker for an on-the-job injury, Alabama law allows you to bring an action against a co-worker when the co-worker's ?willful conduct? caused the injury.

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Use US Legal Forms to get a printable Sample Letter to Workers Compensation Commission for Issuance of Subpoena. Our court-admissible forms are drafted and ... Should you choose to object, you should communicate such objection in writing to the party causing the issuance of this subpoena and state, with respect to any.Divisions; Workers' Compensation. Have a question about On The Job Injury - 800-528-5166 or 334-956-4044. Have a question about Unemployment - 866-234-5382. Welcome to E-Forms. The following forms are available in portable document format (PDF) for the public and other users of the AOC website. For your convenience, ... Subpoena to Produce Documents, Information, or Objects or to Permit Inspection of Premises in a Civil Action. Download Form (pdf, 758.89 KB). Form Number: AO ... Apr 11, 2016 — The subpoena can only be issued by an “attorney at law.” Thus, claims adjusters and lien representatives, unless they are licensed to practice ... Forms related to the management of workers' compensation cases before the IWCC must be submitted electronically in CompFile, the IWCC's electronic filing and ... 1. Download and complete. Download the applicable subpoena form; complete the applicable information; print the subpoena and send it to the appropriate ALJ ... May 18, 2021 — This article provides a starting point for prosecutors seeking to subpoena out-of-state witnesses by using the Uniform Act.

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Alabama Sample Letter to Workers Compensation Commission for Issuance of Subpoena