This form is a sample letter in Word format covering the subject matter of the title of the form.
New York Sample Letter to Workers Compensation Commission for Issuance of Subpoena Dear [Name of Workers Compensation Commission Representative], I am writing to request the issuance of a subpoena by the Workers Compensation Commission in relation to an ongoing workers' compensation case in the state of New York. This letter aims to provide a detailed description of the situation and the specific information required for the proper adjudication of the case. Case Details: [Provide a brief summary of the relevant workers' compensation case, including the injured worker's name, the date and location of the incident, and any pertinent background information.] Request for Subpoena: In order to gather all necessary evidence and testimony, it is imperative that the Workers Compensation Commission issue a subpoena to the following individuals/entities: 1. Medical Providers: We request a subpoena to compel the medical providers involved, including hospitals, clinics, and individual physicians, to produce all relevant medical records, X-rays, test results, and treatment plans pertaining to the injured worker. This information is vital for accurately assessing the extent of the worker's injuries, the need for ongoing medical care, and potential disabilities related to the incident. 2. Employer Representative: We request a subpoena to require the employer's representative, usually a manager or supervisor, to provide testimony regarding workplace safety policies, training protocols, and any direct knowledge of the incident in question. This testimony will help establish liability and any negligence on the part of the employer, contributing to the worker's injury. 3. Co-workers/Witnesses: We request a subpoena to summons any co-workers or potential witnesses who were present during the incident or have information relevant to the case. Their testimony can provide valuable insight into the events leading up to the injury, the working conditions, and any safety violations that may have occurred. 4. Insurance Company: We request a subpoena to compel the insurance company involved in the workers' compensation claim to produce all relevant documentation pertinent to the case. This includes policy details, claim records, correspondence, and any other information that may help determine the extent of coverage and potential liability. 5. Other Parties/Experts: Should additional parties or experts be identified throughout the ongoing investigation, we request permission to apply for further subpoenas as necessary. This will ensure a comprehensive gathering of evidence and the opportunity for a fair resolution of the workers' compensation case. We kindly request that the Workers Compensation Commission issue the aforementioned subpoenas for the individual or entity identified. The requested information and testimony are essential for a thorough evaluation of the case and for the just determination of the injured worker's claims. We appreciate your attention to this matter and look forward to a prompt response. Should you require any further documentation or information, please do not hesitate to reach out to [Contact Person] at [Phone Number] or [Email Address]. Thank you for your assistance in advancing these workers' compensation claim. Sincerely, [Your Name] [Your Position/Title] [Your Contact Information]
New York Sample Letter to Workers Compensation Commission for Issuance of Subpoena Dear [Name of Workers Compensation Commission Representative], I am writing to request the issuance of a subpoena by the Workers Compensation Commission in relation to an ongoing workers' compensation case in the state of New York. This letter aims to provide a detailed description of the situation and the specific information required for the proper adjudication of the case. Case Details: [Provide a brief summary of the relevant workers' compensation case, including the injured worker's name, the date and location of the incident, and any pertinent background information.] Request for Subpoena: In order to gather all necessary evidence and testimony, it is imperative that the Workers Compensation Commission issue a subpoena to the following individuals/entities: 1. Medical Providers: We request a subpoena to compel the medical providers involved, including hospitals, clinics, and individual physicians, to produce all relevant medical records, X-rays, test results, and treatment plans pertaining to the injured worker. This information is vital for accurately assessing the extent of the worker's injuries, the need for ongoing medical care, and potential disabilities related to the incident. 2. Employer Representative: We request a subpoena to require the employer's representative, usually a manager or supervisor, to provide testimony regarding workplace safety policies, training protocols, and any direct knowledge of the incident in question. This testimony will help establish liability and any negligence on the part of the employer, contributing to the worker's injury. 3. Co-workers/Witnesses: We request a subpoena to summons any co-workers or potential witnesses who were present during the incident or have information relevant to the case. Their testimony can provide valuable insight into the events leading up to the injury, the working conditions, and any safety violations that may have occurred. 4. Insurance Company: We request a subpoena to compel the insurance company involved in the workers' compensation claim to produce all relevant documentation pertinent to the case. This includes policy details, claim records, correspondence, and any other information that may help determine the extent of coverage and potential liability. 5. Other Parties/Experts: Should additional parties or experts be identified throughout the ongoing investigation, we request permission to apply for further subpoenas as necessary. This will ensure a comprehensive gathering of evidence and the opportunity for a fair resolution of the workers' compensation case. We kindly request that the Workers Compensation Commission issue the aforementioned subpoenas for the individual or entity identified. The requested information and testimony are essential for a thorough evaluation of the case and for the just determination of the injured worker's claims. We appreciate your attention to this matter and look forward to a prompt response. Should you require any further documentation or information, please do not hesitate to reach out to [Contact Person] at [Phone Number] or [Email Address]. Thank you for your assistance in advancing these workers' compensation claim. Sincerely, [Your Name] [Your Position/Title] [Your Contact Information]