Form 07-6112 - Alaska Workers' Compensation Board Pouch 7-019
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1ALASKA WORKERS' COMPENSATION BOARD
POUCH 7-019
ANCHORAGE, ALASKA 99510
)
)
)
)
)
Employee,
)
)
)
)
vs.
)
S U B P O E N A
)
)
Case No.
)
Employer.
)
)
)
)
)
To:
You are commanded to appear and testify before the Alaska Workers' Compensation Board
on the
day of
,
, at
.m., at
.
This subpoena is issued on the application of
.
Alaska law requires you to appear.
day of
,
DATED at Juneau, Alaska, this
.
ALASKA WORKERS' COMPENSATION BOARD
By _____________________________________________
Form 07-6112 (Rev 04/2010)
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