Subject: Request for Issuance of Subpoena — Workers Compensation Commission [Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] Workers Compensation Commission [Address] [City, State, ZIP Code] Dear Members of the Workers Compensation Commission, RE: SUBPOENA REQUEST AND SUPPORTING DOCUMENTATION I hope this letter finds you in good health and high spirits. I am writing to respectfully request the issuance of a subpoena by the Workers Compensation Commission in relation to an ongoing workers' compensation case involving [employee's name]. Based on the provided information and the significance of this case, it has become necessary to secure additional evidence and witness testimony. Under the circumstances, I kindly request that the Workers Compensation Commission issue a subpoena to the following individuals: 1. [Individual's Name] — [Relevant Occupation/Position] Address: [Physical Address] Phone Number: [Contact Number] Email: [Email Address] Description of Testimony: [Explain the relevance of this individual's testimony] 2. [Individual's Name] — [Relevant Occupation/Position] Address: [Physical Address] Phone Number: [Contact Number] Email: [Email Address] Description of Testimony: [Explain the relevance of this individual's testimony] Additionally, I request the subpoena to compel the following entities for the production of related documents: 1. [Company/Organization Name] — [Address] Description of Documents: [Specify the specific categories or types of documents sought] 2. [Company/Organization Name] — [Address] Description of Documents: [Specify the specific categories or types of documents sought] I believe the aforementioned individuals and organizations possess critical information that is essential for a thorough examination of the workers' compensation case at hand. By subpoenaing their presence and documents, we can ensure all relevant facts are presented, enabling a fair and just resolution. I have enclosed all necessary supporting documentation, including affidavits, medical reports, and any relevant evidence to assist you in evaluating the importance of the requested subpoenas. If there are any filing fees or administrative costs associated with this subpoena request, please provide instructions on payment and the amount required. Please notify me as soon as possible regarding the outcome of my subpoena request. I am available to provide any further information deemed necessary or attend any hearings to present and support this request. Thank you for your attention to this matter. Yours sincerely, [Your Name]
Utah Sample Letter to Workers Compensation Commission for Issuance of Subpoena
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Utah's Basic Process to File a Workers' Compensation Claim Obtaining Medical Treatment & Reporting the Injury to the Employer. ... Reporting the Injury to the Insurance Carrier. ... Accepting or Denying the Workers' Comp Claim.
When a worker is injured, each missed day of work represents lost wages. In workers' compensation insurance, indemnity benefits are paid to the employee to help them cover their loss of income. Payments are a portion of the worker's average weekly wage, and take into consideration the extent of the disability.
Appealing a Judge's Order Either party dissatisfied with the judge's ruling may file a Motion for Review within 30 days of the date the judge issued the Order. The judge will refer the case for review to the Labor Commissioner or Commission Appeals Board.
Physical Address (801) 530-6800. (800) 530-5090. laborcom@utah.gov.
You must be able to meet your burden of proof on the issue within twelve (12) years of the date of the initial injury. Other Deadlines: Other, less common deadlines include reimbursement for travel expenses and death benefits. Death claims must be filed within one (1) year of the employee's death.
