Fulton Georgia Sample Letter to Workers Compensation Commission for Issuance of Subpoena

State:
Multi-State
County:
Fulton
Control #:
US-0949LTR
Format:
Word; 
Rich Text
Instant download

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] [Email Address] [Phone Number] [Date] [Workers Compensation Commission] [Commission Address] [City, State, Zip Code] Re: Request for Issuance of Subpoena Claimant: [Claimant's Name] Claim Number: [Claim Number] To Whom It May Concern, I am writing to request the issuance of a subpoena by the Workers Compensation Commission for the purpose of obtaining necessary evidence in the above-mentioned workers' compensation claim filed by [Claimant's Name]. I represent [Claimant's Name] in this matter and strongly believe that the requested information is crucial to their case. I kindly request that the Commission issue a subpoena to [Organization/Individual's Name] to produce the following documents and/or provide testimony relevant to the claim: 1. Any and all medical records pertaining to the injury sustained by [Claimant's Name]. 2. All medical bills and invoices related to the treatment received by [Claimant's Name]. 3. Any surveillance footage or photographs obtained by [Organization/Individual's Name] pertaining to the claimant during the period of injury. 4. Any reports, documents, or communication between [Organization/Individual's Name] and any medical professionals or experts involved in the case. 5. Any and all documentation related to the claimant's employment with [Organization/Individual's Name], including payroll records, work schedules, job descriptions, and performance evaluations. 6. Copies of any correspondence, emails, or other written communication between [Organization/Individual's Name] and any third-party insurers or investigators. The requested materials would significantly contribute to the ongoing investigation and assessment of [Claimant's Name]'s workers compensation claim. The information is directly relevant to determining the nature and extent of the claimant's injuries, the timeline of events, and the overall impact on their employment and well-being. I hereby authorize the Commission to issue and serve this subpoena on [Organization/Individual's Name] under the authority granted by the relevant workers' compensation laws and regulations. If necessary, I am available to provide additional information or clarification regarding the purpose of this subpoena. Please provide confirmation of the issuance of the subpoena, as well as the date on which it will be served, so that I may inform [Claimant's Name] accordingly. Thank you for your attention to this matter. I look forward to a prompt response confirming the issuance of the requested subpoena. Sincerely, [Your Name] [Your Law Firm/Company Name] [Bar License Number, if applicable]

[Your Name] [Your Address] [City, State, Zip Code] [Email Address] [Phone Number] [Date] [Workers Compensation Commission] [Commission Address] [City, State, Zip Code] Re: Request for Issuance of Subpoena Claimant: [Claimant's Name] Claim Number: [Claim Number] To Whom It May Concern, I am writing to request the issuance of a subpoena by the Workers Compensation Commission for the purpose of obtaining necessary evidence in the above-mentioned workers' compensation claim filed by [Claimant's Name]. I represent [Claimant's Name] in this matter and strongly believe that the requested information is crucial to their case. I kindly request that the Commission issue a subpoena to [Organization/Individual's Name] to produce the following documents and/or provide testimony relevant to the claim: 1. Any and all medical records pertaining to the injury sustained by [Claimant's Name]. 2. All medical bills and invoices related to the treatment received by [Claimant's Name]. 3. Any surveillance footage or photographs obtained by [Organization/Individual's Name] pertaining to the claimant during the period of injury. 4. Any reports, documents, or communication between [Organization/Individual's Name] and any medical professionals or experts involved in the case. 5. Any and all documentation related to the claimant's employment with [Organization/Individual's Name], including payroll records, work schedules, job descriptions, and performance evaluations. 6. Copies of any correspondence, emails, or other written communication between [Organization/Individual's Name] and any third-party insurers or investigators. The requested materials would significantly contribute to the ongoing investigation and assessment of [Claimant's Name]'s workers compensation claim. The information is directly relevant to determining the nature and extent of the claimant's injuries, the timeline of events, and the overall impact on their employment and well-being. I hereby authorize the Commission to issue and serve this subpoena on [Organization/Individual's Name] under the authority granted by the relevant workers' compensation laws and regulations. If necessary, I am available to provide additional information or clarification regarding the purpose of this subpoena. Please provide confirmation of the issuance of the subpoena, as well as the date on which it will be served, so that I may inform [Claimant's Name] accordingly. Thank you for your attention to this matter. I look forward to a prompt response confirming the issuance of the requested subpoena. Sincerely, [Your Name] [Your Law Firm/Company Name] [Bar License Number, if applicable]

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Fulton Georgia Sample Letter to Workers Compensation Commission for Issuance of Subpoena