IN THE WORKERS' COMPENSATION COURT OF THE STATE OF MONTANA

WCC No.  ______________



_______________________________
Petitioner

vs.

_______________________________
Respondent/Insurer.  


SUBPOENA

THE STATE OF MONTANA, to _________________________________________.

You are hereby required, all business and excuses laid aside, to appear at __________________________  __________________________________________ for the purpose of taking a deposition in the City of __________________, Montana, on the _____ day of _______________, 200_, at _______ o'clock then and there to testify in the above-entitled matter now pending in the said Workers' Compensation Court on behalf of the ___________________________.  For failure to appear, you will be liable to punishment for contempt as provided by law.

  DATED in Helena, Montana, this _____ day of ______________________, 200_.

 
                                                                                         By:____________________________

                                                                                               (Signature of Attorney)