<p> DEPARTMENT OF WORKERS' CLAIMS FRANKFORT, KENTUCKY 40601</p><p>SUBPOENA</p><p>Commonwealth of Kentucky ) ) ss County of ______)</p><p>To the Sheriff of County, Commonwealth of Kentucky, greetings:</p><p>You are hereby commanded to summon ______to appear before the Administrative Law Judge, Department of Workers' Claims,</p><p>Commonwealth of Kentucky, at ______, in the County of ___</p><p>______, State of Kentucky, on the _____ day of ______, 200___, at the hour of ______.M. (local time), to give evidence in a certain proceeding now pending before said Department of Workers' Claims wherein ______is the Plaintiff and ______is the Defendant.</p><p>Witness the hand of said department this ______day of ______, 200___</p><p>_.</p><p>DEPARTMENT OF WORKERS' CLAIMS COMMONWEALTH OF KENTUCKY</p><p>By: ______Administrative Law Judge</p>