OGC will inform the RO subpoena/court order contact in writing as to the action taken.
ATTORNEY IDENTIFICATION
If the attorney's name, address and phone number do not appear on the subpoena, call
the clerk of the court. If the subpoena is from a small claims court, there probably
will be no attorney.
Name:____________________________________________________________
Firm:_____________________________________________________________
Address:___________________________________________________________
Phone:_____________________________________________________________
Represents:_________________________________________________________
INFORMATION REQUESTED
Subpoena Type: Personal _____ Duces Tecum____ Both ___________
Is the subpoena for a deposition? Yes ______ No ________
Specific information requested: __________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
ADMINISTRATIVE CONCERNS
Is consent required to disclose the information requested? (Y/N)
If yes, was a valid consent provided?: (Y/N) (See criteria in GN 03305.001)
Folder location: Title II ____________ Title XVI __________
Do not request transfer of the folder(s) unless a valid consent has been provided
or the RO asks you to initiate retrieval.
Date and time the subpoena was faxed to Denver RO: ____________________________
Fax to the Denver RO (303) 844-4280 the subpoena and any accompanying documents, together
with a copy of this questionnaire.
RO REFERRAL TO OGC
Referred to Denver OGC on: (Date: _______________ Time: ___________)
NOTES
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