SUBPOENA FOR DEPOSITION - INSURANCE COVERAGE (WORKSHEET)
Case Information
- Court: [COURT NAME]
- Case number: [CASE NUMBER]
- Caption: [PLAINTIFF] v. [DEFENDANT]
Recipient Information
- Name of witness or custodian: [NAME]
- Address for service: [ADDRESS]
- Relationship to case: [BROKER/ADJUSTER/UNDERWRITER/THIRD PARTY]
Deposition Details
- Date: [DATE]
- Time: [TIME]
- Location: [ADDRESS or REMOTE PLATFORM]
- Recording method: ☐ stenographic ☐ video
Documents to Produce (If Any)
- Policy-related communications or underwriting materials.
- Claim handling notes or reports.
- Coverage analysis or opinions.
Service
- Method of service: [PERSONAL/SUBSTITUTED/OTHER]
- Service date: [DATE]
- Fees tendered: ☐ Yes ☐ No
Proof of Service
text
I certify that I served the subpoena on [NAME] on [DATE] at [LOCATION].
______________________________
[SERVER NAME]