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Fill and Sign the Office of Courts Form

Fill and Sign the Office of Courts Form

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State of Alabama Case NumberUnified Judicial System ORDER TO APPEARAdm. Office of Courts (SUBPOENA) CV-____________Form C-___ Rev. ____ IDYRNUMBER IN THE CIRCUITCOURT OF ________________ COUNTY______________________________ _______________________________PlaintiffDefendantIn theMatter of ________________________________________________________________ (Juvenile Case)[ ]A.Issued at the Request of:1.[ ] Plaintiff/State2. [ ] Defendant3. [ ] Grand Jury[ ]B.Special Instructions You are ordered to: 1.[ ] Produce Records or Documents – See attached Schedule(s) --2.[ ] Appear at Deposition3. [ ] Other Appear at TrialYou may contact ________________________________________________________________________________________________________________________________.TO ANY LAWFUL OFFICER OF You are ordered to serve this order THE STATE OF ALABAMA on the above named person and make return to this court. To __________: You are ordered to appear before the court as stated below until Otherwise excused. T his order is subject to all judicial enforcement and sanction. DATE: _______________________ :Please produce at trial a copy of all medical Records and an itemized statement of all TIME: _______________________ :charges on the following patient: _____________________________(Name) ROOM: ______________________:________ (Race/Sex) ___________ (DOB) SSN: ______________________________ ADDRESS: ___________________ : Date of Accident: ____________________ _____________________________ :Please affix to the above records a Custodial _____________________________:Certificate certifying said records as to authenticity and reasonableness of charges. _____________________________ :______________________________[___]_Date Issued Clerk/RegisterSignature (Deputy Clerk Initials) RETURN ON SERVICE I certify that I personally delivered a Served By ______________________ Mail,Copy of this order to ____________ Return Receipt dated ____________, _____.______________ on ____________,_______.______________________ ________________________ _______[____]____Signature and Title of Server Signature of Clerk/Register (Deputy Clerk Initials)Respectfully submitted this ___________ day of __________________, ___________.Respectfully submitted, ______________________________________________________________ OF COUNSEL:_______________________________________________________________________________________________________________________________________________, Alabama ________(____)__________________________ CERTIFICATE OF SERVICE I hereby certify that I have served a copy of the foregoing via U.S. Mail, postage prepaid, upon ______________________________(Name), _______________________ ___________________________ (Address), _______________ (city), Alabama ________________ (Zip), in this ______________ day of _____________________, _____________. ____________________________________ ________________________________

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  4. Click Me (Fill Out Now) to prepare the document on your end.
  5. Add and allocate fillable fields for others (if necessary).
  6. Proceed with the Send Invite settings to solicit eSignatures from others.
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