Investigation Logic, Inc. - Subpoena Order Form

Subpoena Order Form
Issuing Attorney
Contact Person
Firm Name
Telephone
Email Address
Priority Level	Normal (48 Hours) Rush
Case Information
Short Case Title
Court
Case Number
Form of Subpoena
Business Records	(No Notice to Consumer)
Consumer Records	(Notice to Consumer)
Employment Records	(Notice to Employee)
Deposition Subpoena	Appearance Only
	Appearance with Documents
Trial Subpoena	Documents Only
	Appearance Only
	Appearance with Documents
Other Form (Describe)
Advance witness fees	yes	no
Documents Sought (Attachment 3 to Subpoena)
Medical Records, Including Radiographic Films
Medical Records, Excluding Radiographic Films
Employment Records
Education Records
Insurance Records
Other Records (Describe or email special Attachment 3)
Consumer or Employee Information
Consumer or Employee Name
Date of Birth
Social Security Number
Other (AKA's, Patient ID, Claim or Policy Number)
Service of Notice to Consumer/Notice to Employee
Attorney's Name
Law Firm
Service By	Mail FedEx Hand
Custodian of Record
Name/Entity
Address

Phone Number
Custodian's Address and Phone Number Unknown
Form of Document Production
Paper Copy
CD-ROM
SOLIDD© Online Access
Special Instructions

Subpoena Order Form