Subject: Request for Issuance of Subpoena — South Dakota Workers Compensation Commission [Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] Workers Compensation Commission 123 Main Street [City, State, ZIP Code] Dear Workers Compensation Commission, RE: REQUEST FOR ISSUANCE OF SUBPOENA — WORKERS COMPENSATION CASE NO. [CASE NUMBER] I hope this letter finds you well. I am writing to request the issuance of a subpoena by the South Dakota Workers Compensation Commission for the purpose of obtaining essential documentation and testimony relevant to the aforementioned workers' compensation case. I kindly request that you issue a subpoena to [Name of the Individual or Institution to be subpoenaed], as detailed below: 1. Party to be Subpoenaed: — Name of Individual/Institution— - Address: — Phone Number: - Email Address (if available): 2. Documents and/or Testimony Requested: — Please specify the specific documents or records required, providing as much detail as possible. — Additionally, indicate if testimony or a statement is also required, specifying the nature and scope of the requested testimony. 3. Case and Claim Details: — Claimant's Name— - Claimant's Social Security Number: — Employer's Name— - Employer's Workers Compensation Insurance Provider: — Date of Injury— - Brief Description of the Injury and Nature of the Claim: — Case Number (if available): 4. Reason for Subpoena Request: — Provide a clear, concise explanation as to why the subpoena is necessary to support the workers' compensation case. You may reference the specific rules or statutes that support your request if applicable. 5. Requested Subpoena Return Date: — State the desired date by which the requested documents and/or testimony should be returned, indicating sufficient time for compliance and any applicable legal timelines. I assure you that the information and materials requested are directly relevant to the ongoing workers' compensation case and are vital for the proper resolution of the matter. Your assistance in issuing this subpoena will greatly contribute to the fair and impartial determination of the case's outcome. Should you require any additional information or have any questions regarding this subpoena request, kindly contact me at the provided contact details. I sincerely appreciate your attention to this matter. Thank you for your understanding and cooperation. Sincerely, [Your Name] [Your Signature (if sending a hard copy)] [Your Typed Name]