(04/2020) OALJ Subpoena to Produce Documents, Information or Objects or to Permit Inspection of Premises
United States Department of Labor
OFFICE OF ADMINISTRATIVE LAW JUDGES
In Re:
(Plaintiff/Complainant/Claimant)
v.
(Defendant/Respondent/Employer/Carrier)
OALJ Case No:
SUBPOENA TO PRODUCE DOCUMENTS, INFORMATION, OR OBJECTS
OR TO PERMIT INSPECTION OF PREMISES
To:
Address:
The following provisions of the Code of Federal Regulations (C.F.R.) are attached - 29 C.F.R. §§18.56(c) and 18.52(a), relating to
your protection as a person subject to a subpoena, and 29 C.F.R. §§18.56(d) and 18.56(e), relating to your duty to respond to this
subpoena and the potential consequences of not doing so.
This subpoena is issued upon the application of
(indicate attorney/representative for named party):
(Person requesting subpoena) (Address and Telephone Number)
IN WITNESS WHEREOF the undersigned United
States Department of Labor Administrative Law
Judge has digitally signed this subpoena.
Signature of U.S. Administrative Law Judge
Page 1 of 3
Production: YOU ARE COMMANDED to produce the following documents, electronically stored information, or
objects, and permit their inspection, copying, testing, or sampling of the material at your address set forth above and at the
following Date and Time :
Alternate to Personal Production: You may avoid personally producing the described items at your address set forth above
by delivering copies of the described items to the following described location on or before the date and time set forth above.
Inspection: YOU ARE COMMANDED to permit entry onto the designated premises, land, or other property possessed or
controlled by you at the time, date and location set forth below, so that the requesting party may inspect, measure, survey,
photograph, test, or sample the property or any designated object on it.
Place of Production:
Place of Inspection:
Date:
Time:
Name Address
City
State Zip CodePhone Number
Bar Number
Firm Name
click to sign
signature
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NOTICES
NOTICE: This subpoena is only valid in proceedings before the Office of
Administrative Law Judges or Office of Workers' Compensation Programs. To be
valid, this subpoena must bear the digital signature of a Department of Labor
(DOL) administrative law judge.
29 C.F.R. §18.56 Subpoenas(c) Protecting a Person Subject to a Subpoena.
(1) Avoiding Undue Burden or Expense; Sanctions. A party or representative
responsible for requesting, issuing or serving a subpoena must take reasonable
steps to avoid imposing undue burden on a person subject to the subpoena. The
judge must enforce this duty and impose an appropriate sanction.
(2) Command to Produce Materials or Permit Inspection.
(A) Appearance Not Required. A person commanded to produce
documents, electronically stored information, or tangible things, or to
permit inspection of premises, need not appear in person at the place of
production or inspection unless also commanded to appear for a
deposition or hearing.
(B) Objections. A person commanded to produce documents or tangible
things or to permit inspection may serve on the party or representative
designated in the subpoena a written objection to inspecting, copying,
testing or sampling any or all of the materials or to inspecting the
premises - or to producing electronically stored information in the form
or forms requested. The objection must be served before the earlier of
the time specified for compliance or 14 days after the subpoena is
served
(i) At any time, upon notice to the commanded person, the serving party
may move the judge for an order compelling production or inspection.
(ii) These acts may be required only as directed in the order, and the
order must protect a person who is neither a party nor a party's officer
from significant expense resulting from compliance.
(3) Quashing or Modifying a Subpoena.
(A) When Required. On timely motion, the judge must quash or modify a
subpoena that:
(i) fails to allow a reasonable time to comply;
(ii) requires a person who is neither a party nor a party's officer to
travel more than 100 miles from where that person resides, is
employed, or regularly transacts business in person - except that,
subject to paragraph (c)(3)(B)(iii) of this section, the person may be
commanded to attend the formal hearing;
(iii) requires disclosure of privileged or other protected matter, if no
exception or waiver applies; or
(iv) subjects a person to undue burden.
(B) When permitted. To protect a person subject to or affected by a
subpoena, the judge may, on motion, quash or modify the subpoena if it
requires:
(i) disclosing a trade secret or other confidential research,
development, or commercial information;
(ii) disclosing an unretained expert's opinion or information that does
not describe specific occurrences in dispute and results from the
expert's study that was not requested by a party; or
(iii) a person who is neither a party nor a party's officer to incur
substantial expense to travel more than 100 miles to attend the formal
hearing.
(d) Duties in Responding to a Subpoena.
(1) Producing Documents or Electronically Stored Information. These procedures
apply to producing documents or electronically stored information:
(A) Documents. A person responding to a subpoena to produce
documents must produce them as they are kept in the ordinary course of
business or must organize and label them to correspond to the
categories in the demand.
(B) Form for Producing Electronically Stored Information Not
Specified. If a subpoena does not specify a form for producing
electronically stored information, the person responding must produce
it in a form or forms in which it is usually maintained or in a reasonably
usable form or forms.
HIPAA NOTICE: In regard to the Privacy of Individually Identifiable Health
Information under the Health Insurance Portability and Accountability Act of
1996, if this subpoena does not bear the digitized signature of a DOL
administrative law judge, it is not valid under 45 C.F.R. §§164.512(e), 164.512(f)
or 164.512(l).
(A) Electronically Stored Information Produced in Only One Form.
The person responding need not produce the same electronically stored
information in more than one form.
(D) Inaccessible Electronically Stored Information. The person responding
need not provide discovery of electronically stored information from
sources that the person identifies as not reasonably accessible because
of undue burden or expense. On motion to compel discovery or for a
protective order, the person responding must show that the information
is not reasonably accessible because of undue burden or cost. If that
showing is made, the judge may nonetheless order discovery from such
sources if the requesting party show good cause. The judge may
specify conditions for the discovery.
(2) Claiming Privilege or Protection.
(A) Information Withheld. A person withholding subpoenaed
information under a claim that it is privileged or subject to protection as
hearing-preparation material must:
(i) expressly make the claim; and
(ii) describe the nature of the withheld documents, communications, or
tangible things in a manner that, without revealing information
itself privileged or protected, will enable the parties to assess the
claim.
(B) Information Produced. If information produced in response to a
subpoena is subject to a claim of privilege or of protection as hearing-
preparation material, the person making the claim may notify any party
that received the information of the claim and the basis for it. After
being notified, a party must promptly return, sequester, or destroy the
specified information and any copies it has; must not use or disclose the
information until the claim is resolved; must take reasonable steps to
retrieve the information if the party disclosed it before being notified;
and may promptly present the information to the judge in camera for a
determination of the claim. The person who produced the information
must preserve the information until the claim is resolved.
(e) Failure to Obey. When a person fails to obey a subpoena, the party adversely
affected by the failure may, when authorized by statute or law, apply to the
appropriate District Court to enforce the subpoena.
29 C.F.R. §18.52 Protective orders
(a) In General. A party or person from whom discovery is sought may file a
written motion for a protective order. The motion must include a certification that
the movant has in good faith conferred or attempted to confer with the affected
parties in an effort to resolve the dispute without the judge's action. The judge
may, for good cause, issue an order to protect a party or person from annoyance,
embarrassment, oppression, or undue burden or expense, including one or more of
the following:
(1) Forbidding the disclosure or discovery;
(2) Specifying terms, including a designation of the time and place, for the
disclosure or discovery;
(3) Prescribing a discovery method other than the one selected by the party
seeking discovery;
(4) Forbidding inquiry into certain matters, or limiting the scope of disclosure or
discovery to certain matters;
(5) Designating the persons who may be present while discovery is conducted;
(6) Requiring that a deposition be sealed and only opened on the judge's order;
(7) Requiring that a trade secret or other confidential research, development, or
commercial information not be revealed or be revealed only in a specified way;
and
(8) Requiring that the parties simultaneously file specified documents or
information in sealed envelopes, to be opened as the judge directs.
4/2020) OALJ Subpoena to Produce Documents, Information or Objects or to Permit Inspection of Premises
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PROOF OF SERVICE
(04/2020) OALJ Subpoena to Produce Documents, Information or Objects or to Permit Inspection of Premises
Person served (print name) Date of Service
Place of Service Manner of Service
DECLARATION OF SERVER
I declare under penalty of perjury under the laws of the United States of America that the foregoing information contained
in the Proof of Service is true and correct.
Signature of Server
Page 3 of 3
Date
On
I received this subpoena and served it pursuant to 29 CFR §18.56(b) as follows:
I have also tendered to the witness fees for one day's attendance and the mileage allowed by law, in the amount of
I have not tendered witness fees for one day's attendance and for the mileage allowed by law.
$
Name of Server (Print Name)
Address:
City:
ZIP:
State: