[Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] Nebraska Workers' Compensation Commission [Address] [City, State, ZIP Code] Subject: Request for Issuance of Subpoena in [Claimant's Name] Workers' Compensation Case Dear Members of the Workers' Compensation Commission, I am writing to formally request the issuance of a subpoena in the workers' compensation case of [Claimant's Name], in accordance with the powers vested in the Commission by the laws of Nebraska. This letter serves as an official request for the Commission's assistance in compelling the appearance and testimony of certain individuals and/or production of specific documents crucial to a fair resolution of the aforementioned case. As the attorney representing [Claimant's Name], I have made reasonable efforts to obtain the requested documents and secure the cooperation of the required witnesses voluntarily. However, these attempts have been unsuccessful, leaving no alternative but to seek the assistance of the Commission through the issuance of a subpoena. In light of the circumstances of this case, I believe the following individuals and records need to be subpoenaed as part of the discovery process: 1. Witness Subpoenas: a) [Witness 1 Name] — [Witness 1's Role/Position] b) [Witness 2 Name] — [Witness 2's Role/Position] c) [Witness 3 Name] — [Witness 3's Role/Position] 2. Document Subpoenas: a) Employment records/history of [Claimant's Name] from [Company Name] b) Medical records pertaining to [Claimant's Name]'s workplace injury/treatment c) Incident reports filed by [Company Name] regarding [Claimant's Name]'s workplace injury It is crucial to the fair resolution of this case that these subpoenas are issued promptly to avail the necessary witnesses and documents for the upcoming hearings. This request is made in the interest of justice and to ensure a comprehensive and unbiased evaluation of all relevant facts. Enclosed with this letter, please find the requisite subpoenas for your convenience, which have been prepared in accordance with the Nebraska statutes and regulations governing workers' compensation proceedings. I kindly request that the Commission review and validate these subpoenas before their service and return them to me at your earliest convenience. Should you require any additional information or documentation to satisfy this request, please do not hesitate to contact me. I appreciate your attention to this matter and your willingness to assist in facilitating a fair resolution in the best interest of all parties involved. Thank you in advance for your cooperation. Yours faithfully, [Your Name] [Your Title/Position] [Law Firm Name (if applicable)]