Form 40-5017 "Subpoena" - Arizona

What Is Form 40-5017?

This is a legal form that was released by the Arizona Department of Transportation - a government authority operating within Arizona. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2015;
  • The latest edition provided by the Arizona Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 40-5017 by clicking the link below or browse more documents and templates provided by the Arizona Department of Transportation.

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Download Form 40-5017 "Subpoena" - Arizona

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40-5017 R03/15
IN THE EXECUTIVE HEARING OFFICE OF
THE ARIZONA DEPARTMENT OF TRANSPORTATION
3838 North Central Avenue, Third Floor
Phoenix, Arizona 85012
)
)
Docket No.
)
SUBPOENA (Duces Tecum)
)
Under the Authority of
)
Arizona Revised Statutes § 41-1062
)
Arizona Administrative Code R17-1-509
TO:
Name:
Address:
You are ORDERED 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 ORDERED 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
___________________________________________________, ____________________ at (location):
__________________________________________________________________________________.)
The Executive Hearing Office endeavors to ensure the accessibility of its hearings to all persons with disabilities. If you require special accommodations,
such as wheelchair access, sign language interpretation, foreign language interpreters or TTY telephone you must inform the EHO at the time you file your
hearing request or call 602-712-7737 at least seven business days prior to the hearing.
DATED this __________ day of ________________________________.
Administrative Law Judge
AT THE REQUEST OF:
TELEPHONE NUMBER:
CERTIFICATE OF SERVICE
The undersigned swears (or affirms) that he/she is qualified to serve this subpoena and did so by showing the original to and informing the witness of its
contents and by delivering a copy thereof to him/her at _________a.m.\ p.m. on __________________________, 20______, at ____________________,
Arizona.
___________________________________
Person serving subpoena
Clear
azdot.gov
40-5017 R03/15
IN THE EXECUTIVE HEARING OFFICE OF
THE ARIZONA DEPARTMENT OF TRANSPORTATION
3838 North Central Avenue, Third Floor
Phoenix, Arizona 85012
)
)
Docket No.
)
SUBPOENA (Duces Tecum)
)
Under the Authority of
)
Arizona Revised Statutes § 41-1062
)
Arizona Administrative Code R17-1-509
TO:
Name:
Address:
You are ORDERED 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 ORDERED 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
___________________________________________________, ____________________ at (location):
__________________________________________________________________________________.)
The Executive Hearing Office endeavors to ensure the accessibility of its hearings to all persons with disabilities. If you require special accommodations,
such as wheelchair access, sign language interpretation, foreign language interpreters or TTY telephone you must inform the EHO at the time you file your
hearing request or call 602-712-7737 at least seven business days prior to the hearing.
DATED this __________ day of ________________________________.
Administrative Law Judge
AT THE REQUEST OF:
TELEPHONE NUMBER:
CERTIFICATE OF SERVICE
The undersigned swears (or affirms) that he/she is qualified to serve this subpoena and did so by showing the original to and informing the witness of its
contents and by delivering a copy thereof to him/her at _________a.m.\ p.m. on __________________________, 20______, at ____________________,
Arizona.
___________________________________
Person serving subpoena