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 [Address] [City, State, Zip Code] Subject: Request for Issuance of Subpoena in Workers Compensation Case Dear Workers Compensation Commission, I am writing to request the issuance of a subpoena in relation to my ongoing workers compensation case. I am a resident of New York and I have been pursuing a claim for compensation due to an injury sustained during the course of my employment. Specifically, I am requesting the Workers Compensation Commission to issue a subpoena for the following individual or entity: 1. [Defendant's Name]: The party I am seeking the subpoena against, who I believe has relevant information or evidence pertinent to my workers compensation case. I believe that this individual/entity possesses information or documents that are crucial to the determination of my case. As such, I kindly request the issuance of a subpoena to compel them to produce the requested documents or testify under oath before a designated authority. The information or documents I am seeking from the aforementioned party include but are not limited to: 1. Employment records: Any documents related to my employment with the defendant, including job position, compensation details, work schedule, and relevant policies. 2. Incident reports: Any reports or documentation related to the incident leading to my injury, including any witnesses' statements and supervisor's reports. 3. Medical records: Any records pertaining to my medical treatments, evaluations, diagnoses, examinations, prescriptions, or any other medical-related documents directly related to my injury. 4. Insurance documentation: Any records related to the defendant's insurance coverage, including workers compensation insurance policies, coverage limits, and policy terms. 5. Any other relevant documentation: Any correspondences, communication records, or evidence that may be relevant to my workers compensation case. I believe that through the issuance of this subpoena, relevant information will be obtained, thus aiding in the resolution of my workers compensation claim. I am confident that this information will be crucial in assessing liability and determining the appropriate compensation I am entitled to under the workers' compensation laws of New York. Please let me know if any additional information or documentation is required to facilitate the issuance of the subpoena. I look forward to a prompt response and the necessary actions to ensure a fair and just resolution of my workers compensation case. Thank you for your attention to this matter. Sincerely, [Your Name]
[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 in Workers Compensation Case Dear Workers Compensation Commission, I am writing to request the issuance of a subpoena in relation to my ongoing workers compensation case. I am a resident of New York and I have been pursuing a claim for compensation due to an injury sustained during the course of my employment. Specifically, I am requesting the Workers Compensation Commission to issue a subpoena for the following individual or entity: 1. [Defendant's Name]: The party I am seeking the subpoena against, who I believe has relevant information or evidence pertinent to my workers compensation case. I believe that this individual/entity possesses information or documents that are crucial to the determination of my case. As such, I kindly request the issuance of a subpoena to compel them to produce the requested documents or testify under oath before a designated authority. The information or documents I am seeking from the aforementioned party include but are not limited to: 1. Employment records: Any documents related to my employment with the defendant, including job position, compensation details, work schedule, and relevant policies. 2. Incident reports: Any reports or documentation related to the incident leading to my injury, including any witnesses' statements and supervisor's reports. 3. Medical records: Any records pertaining to my medical treatments, evaluations, diagnoses, examinations, prescriptions, or any other medical-related documents directly related to my injury. 4. Insurance documentation: Any records related to the defendant's insurance coverage, including workers compensation insurance policies, coverage limits, and policy terms. 5. Any other relevant documentation: Any correspondences, communication records, or evidence that may be relevant to my workers compensation case. I believe that through the issuance of this subpoena, relevant information will be obtained, thus aiding in the resolution of my workers compensation claim. I am confident that this information will be crucial in assessing liability and determining the appropriate compensation I am entitled to under the workers' compensation laws of New York. Please let me know if any additional information or documentation is required to facilitate the issuance of the subpoena. I look forward to a prompt response and the necessary actions to ensure a fair and just resolution of my workers compensation case. Thank you for your attention to this matter. Sincerely, [Your Name]