No.

Caption:

v.

SUBPOENA (Duces Tecum)
Under the Authority of
Arizona Revised Statutes 41-1092.07(C)

TO: Name: ___________________________________________________________
Address:___________________________________________________________

_____ You are commanded to ATTEND a hearing in this matter at the date, time and location listed below and to remain until excused.

Date: ____________________
Time:________________
Location: _______________________________________________
________________________________________________
_____ You are commanded to PRODUCE documents or other tangible items for the above entitled matter, specifically:( describe items) __________________________________________________________________________________________________________________________________________________________________________
for the hearing listed above OR (if another date other than the hearing) then on or before___________________________, 200__ at (location): ____________________________________________________________________________________.)

The Office Of Administrative Hearings endeavors to ensure the accessibility of its hearings to all persons with disabilities. Should you need special accommmodations, please contact the Office of Administrative Hearings at (602)-542-9826 at least three working days prior to the hearing.

DATED this ______ day of ___________________________200__.

_____________________________________
Administrative Law Judge

AT THE REQUEST OF: _____________________________________________