Crime-Victim and Witness Court-Attendance Leave Request Packet
SUBPOENA-COMPLIANCE ABSENCE REQUEST PACKET
Texas — Tex. Lab. Code § 52.051
Use this packet only when an employee will comply with a valid subpoena to appear in a civil, criminal, legislative, or administrative proceeding.
1. EMPLOYEE AND EMPLOYER
| Field | Entry |
|---|---|
| Employee | [________________________________] |
| Employer | [________________________________] |
| Position / department | [________________________________] |
| HR / supervisor contact | [________________________________] |
| Preferred confidential contact | [________________________________] |
2. SUBPOENA AND PROCEEDING GATE
- ☐ A valid subpoena has been issued to the employee.
- ☐ Civil proceeding
- ☐ Criminal proceeding
- ☐ Legislative proceeding
- ☐ Administrative proceeding
Issuing court, committee, or agency: [________________________________]
Case or matter identifier, using the minimum necessary information: [________________________________]
Appearance date and time: [________________________________]
Expected work absence: [DATE / START / END]
3. EMPLOYEE REQUEST
I request an absence from [START] through [END] on [DATE] to comply with the attached or securely presented subpoena.
Pay or leave-bank treatment requested under policy, agreement, or another law:
- ☐ Accrued paid leave: [TYPE / HOURS]
- ☐ Unpaid time
- ☐ Schedule adjustment: [________________________________]
- ☐ Counsel review: [________________________________]
Section 52.051 does not itself require compensation for the absence.
Employee signature: __________________________ Date: ______________
4. MINIMUM DOCUMENT DELIVERY
- ☐ Subpoena
- ☐ Scheduling or cancellation notice
- ☐ Other minimally necessary record: [________________________________]
Do not attach police reports, medical records, victim addresses, or offense narratives unless current law or counsel requires them.
Secure delivery date, method, and recipient: [________________________________]
5. EMPLOYER REVIEW
Tex. Lab. Code § 52.051 prohibits discharge, discipline, or any other penalty because an employee complies with a valid subpoena.
- ☐ Valid subpoena and covered proceeding confirmed
- ☐ Absence approved as requested
- ☐ Schedule adjusted without penalizing subpoena compliance
- ☐ Pay / leave-bank treatment: [________________________________]
- ☐ Counsel review required
If a court issued the subpoena, a violation may support contempt by that court. A legislative committee or state agency may impose a monetary penalty of up to $500 under subsection (c).
An unlawfully discharged employee may seek return to the same employment after giving actual return notice as soon as practical following release from subpoena compliance, subject to the subsection (f) defense. The statute also provides a civil damages and attorney-fee remedy.
Employer representative: _____________________ Date: ______________
Decision delivered to employee: [DATE / METHOD]
6. CHANGE LOG
| Date | Proceeding update | Employee notice | Work adjustment |
|---|---|---|---|
| [________] | [________________] | [________________] | [________________] |
| [________] | [________________] | [________________] | [________________] |
OFFICIAL SOURCE VERIFIED
About This Template
Employment documents govern the relationship between a company and its workers, from offer letters and employment agreements through handbooks, performance reviews, and separations. Done right, they set clear expectations, protect against wrongful termination and discrimination claims, and give both sides a record to rely on. Done poorly, they invite lawsuits, agency complaints, and costly disputes.
Important Notice
This template is provided for informational purposes. It is not legal advice. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Checked against the law it cites
A reviewer verified this template's legal citations against the official source on 2026-08-11.
Legal authority: Tex. Lab. Code § 52.051 (employment protection for compliance with a valid subpoena)
Last updated: 2026-08-11
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