FORM 7A
SUBPOENA IN VACCINE CASES
United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
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________________________,
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Petitioner[s],
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No. _________V
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v.
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Special Master__________________
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SECRETARY OF HEALTH AND HUMAN
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SERVICES,
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Respondent.
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SUBPOENA
To: ________________________________
____________________________________
____________________________________
1. YOU ARE COMMANDED to appear at the place, date, and time specified below to testify in the above-captioned case.
Place of Testimony: _________________________________________
Date and Time:_____________________________________________
2. YOU ARE COMMANDED to appear at the place, date, and time specified below to testify at the taking of a deposition
in the above-captioned case.
Place of Deposition:_________________________________________
Date and Time:_____________________________________________
3. YOU ARE COMMANDED to produce and permit inspection and copying of the following documents or objects at the
place, date, and time specified below (list documents or objects):
Place:____________________________________________________
Date and Time:_____________________________________________
4. YOU ARE COMMANDED to permit inspection of the following premises at the date and time specified below.
Premises:_________________________________________________
Date and Time:_____________________________________________
Any organization not a party to this suit that is subpoenaed for the taking of a deposition shall designate one or more
officers, directors, or managing agents, or other persons who consent to testify on its behalf, and may set forth, for each person
designated, the matters on which the person will testify.
______________________________________________________________________________
ISSUING OFFICER SIGNATURE AND TITLE (INDICATE IF ATTORNEY FOR PLAINTIFF OR DEFENDANT)
DATE
___________________________________________________________________________________________________________________
ISSUING OFFICER’S NAME, ADDRESS, TELEPHONE NUMBER, AND E-MAIL
___________________________________________________________________________________________________________________
NOTE - If the place of travel is more than 100 miles (by the shortest usual means of travel) from the place where the subpoena is served, or if the place
of the deposition is more than 100 miles from the place where the deponent resides, is employed, or transacts business in person, the person served may
regard the command as optional unless there is attached to the subpoena an order of the court requiring his/her appearance notwithstanding the distance
of travel. In any event, response to the subpoena will entitle the person to the fees and mileage allowed by law. (28 U.S.C. §1821)