[SAMPLE LETTER] [Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] [Workers Compensation Commission] [Address] [City, State, ZIP Code] Subject: Request for Issuance of Subpoena Dear Sir/Madam, I am writing to request the Workers Compensation Commission to issue a subpoena for [include relevant details such as the case number, claimant's name, and any other specific information regarding the case]. This subpoena is necessary to procure essential evidence in the ongoing investigation of a workers' compensation claim. [Include a brief introduction of your involvement in the case and your role such as an attorney, claim adjuster, or employer representative.] The purpose of this subpoena is to compel the production of the following documents and witnesses that are crucial to the fair resolution of the claim: 1. Documents: — Medical records related to the claimant's injuries — Witness statement— - Surveillance footage, if any — Incident report— - Any other relevant documents that are in the possession of the employer, insurance company, or other involved parties 2. Witnesses: — [List the names and contact information of individuals who possess important information or have witnessed the incident leading to the claim] I kindly request that the subpoena be issued promptly so that the requested documents and witnesses can be provided within a reasonable timeframe, as this information is vital for the proper assessment of the workers' compensation claim. Furthermore, I request that the commission notifies all involved parties, including myself, once the subpoena has been issued. Any instructions or guidelines regarding the timeline for compliance with the subpoena should also be communicated promptly. I understand that the issuance of a subpoena may require certain fees or administrative processes. Please inform me of any such requirements, and I will facilitate the necessary arrangements to ensure compliance. Thank you for your attention to this matter. If you require any additional information or have any questions, please do not hesitate to contact me at [your phone number or email address]. Yours sincerely, [Your Name] [Your Title or Affiliation]