Form Wcc304 - Subpoena
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2Department of Commerce
WORKERS’ COMPENSATION COMMISSION
COMMONWEALTH OF THE NORTHERN MARIANA ISLANDS
P.O. Box 5795 CHRB, Saipan MP 96950
Tel: (670) 664-8018/8024 • Fax (670) 664-8074
Website:
BEFORE THE WORKERS' COMPENSATION COMMISSION
COMMONWEALTH OF THE NORTHERN MARIANA ISLANDS
In the matter of
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WCC Case No.: ___________________
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SUBPOENA
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Saipan, MP 96950
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TO:
YOU ARE HEREBY COMMANDED to appear at the Department of Commerce conference room, first floor,
Capitol Hill, Saipan, to attend as a witness on ________________________________________________ ,
the __________________ day of ______________________________________ , __________________ at
the hour of ______________ , o'clock ____________, then and there to testify in the above-entitled cause
on the part of ________________________ . For failure to attend or answer as a witness, you may be
deemed guilty of comtempt, and liable to pay for all losses and damages sustained thereby the parties aggrieved.
DATED this ____________ day of ________________________________ , ____________.
CNMI WORKERS' COMPENSATION COMMISSION,
By: ___________________________________________________
Administrative Hearing Officer
FORM WCC‐304 (REV. 6/96 Replaces Form CWC‐902)
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