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 before the Workers' Compensation Court of the State of Montana at __________________________, 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 ____________, unless quashed or until judgment, dismissal, or other final determination of this action by the Court. 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)