Wisconsin Sample Letter to Workers Compensation Commission for Issuance of Subpoena

• Category: Letters - Legal - Subpoenas
• State: Multi-State
• Control #: US-0949LTR
• Format: Word; Rich Text

Description

This form is a sample letter in Word format covering the subject matter of the title of the form. [Your Name] [Your Address] [City, State, ZIP Code] [Date] Workers Compensation Commission [Commission Address] [City, State, ZIP Code] Subject: Request for Issuance of Subpoena [Commission Name], I hope this letter finds you in good health and high spirits. I am writing to request the issuance of a subpoena in accordance with the Workers Compensation laws of Wisconsin. In relation to a specific workers' compensation claim, I am seeking the assistance of the Commission in obtaining crucial evidence from the relevant parties involved. The case at hand involves [briefly describe the nature of the workers' compensation claim, including the injured worker's name and the employer's name]. To properly investigate and evaluate this claim, it is imperative to acquire certain documents, records, or statements that might only be accessible through a formally issued subpoena. I kindly request your assistance in issuing a subpoena to the following parties: 1. Employer: [Provide the name and address of the employer]. 2. Medical Provider(s): [Specify the name(s) and address(BS) of the medical provider(s) responsible for treating the injured worker]. 3. Witnesses: [If applicable, list the names and addresses of witnesses who may have valuable information related to the case]. I am specifically seeking the following documents, records, or statements related to the claim: 1. Medical Records: Detailed medical history, records of treatment, diagnosis, prognosis, and any other relevant medical documentation. 2. Employment Records: Payroll records, employment contracts, timesheets, and any other documents indicating employment status. 3. Witness Statements: Sworn statements or interviews from individuals who witnessed the accident or have information regarding the incident. 4. Surveillance Footage: If available, any surveillance footage that may shed light on the incident and individual's activities related to the claim. 5. Maintenance and Incident Reports: Any relevant reports related to the incident, including maintenance logs, incident reports, or accident investigations conducted by the employer. I request that the Commission issue the subpoena promptly, providing the parties with specific instructions on complying with the subpoena's terms, such as the deadline for submitting the requested information. Additionally, kindly inform the involved parties that failure to comply with the subpoena may result in appropriate legal actions to ensure compliance. In the interest of expediting the claims process and promoting fairness, I kindly ask that you acknowledge receipt of this letter and provide an approximate timeline for the issuance of the requested subpoena. Please communicate any further requirements or procedures necessary to obtain the requested documents. Thank you for your attention to this matter. Your assistance in gathering the required evidence will prove invaluable in facilitating a just resolution to the workers' compensation claim. If you require any further information, please do not hesitate to contact me at [Your Phone Number] or [Your Email Address]. Sincerely, [Your Name] [Your Designation/Title] [Additional Contact Information]

[Your Name] [Your Address] [City, State, ZIP Code] [Date] Workers Compensation Commission [Commission Address] [City, State, ZIP Code] Subject: Request for Issuance of Subpoena [Commission Name], I hope this letter finds you in good health and high spirits. I am writing to request the issuance of a subpoena in accordance with the Workers Compensation laws of Wisconsin. In relation to a specific workers' compensation claim, I am seeking the assistance of the Commission in obtaining crucial evidence from the relevant parties involved. The case at hand involves [briefly describe the nature of the workers' compensation claim, including the injured worker's name and the employer's name]. To properly investigate and evaluate this claim, it is imperative to acquire certain documents, records, or statements that might only be accessible through a formally issued subpoena. I kindly request your assistance in issuing a subpoena to the following parties: 1. Employer: [Provide the name and address of the employer]. 2. Medical Provider(s): [Specify the name(s) and address(BS) of the medical provider(s) responsible for treating the injured worker]. 3. Witnesses: [If applicable, list the names and addresses of witnesses who may have valuable information related to the case]. I am specifically seeking the following documents, records, or statements related to the claim: 1. Medical Records: Detailed medical history, records of treatment, diagnosis, prognosis, and any other relevant medical documentation. 2. Employment Records: Payroll records, employment contracts, timesheets, and any other documents indicating employment status. 3. Witness Statements: Sworn statements or interviews from individuals who witnessed the accident or have information regarding the incident. 4. Surveillance Footage: If available, any surveillance footage that may shed light on the incident and individual's activities related to the claim. 5. Maintenance and Incident Reports: Any relevant reports related to the incident, including maintenance logs, incident reports, or accident investigations conducted by the employer. I request that the Commission issue the subpoena promptly, providing the parties with specific instructions on complying with the subpoena's terms, such as the deadline for submitting the requested information. Additionally, kindly inform the involved parties that failure to comply with the subpoena may result in appropriate legal actions to ensure compliance. In the interest of expediting the claims process and promoting fairness, I kindly ask that you acknowledge receipt of this letter and provide an approximate timeline for the issuance of the requested subpoena. Please communicate any further requirements or procedures necessary to obtain the requested documents. Thank you for your attention to this matter. Your assistance in gathering the required evidence will prove invaluable in facilitating a just resolution to the workers' compensation claim. If you require any further information, please do not hesitate to contact me at [Your Phone Number] or [Your Email Address]. Sincerely, [Your Name] [Your Designation/Title] [Additional Contact Information]