ELMIRA CITY COURT

317 E CHURCH STREET

ELMIRA, NY 14901

607-873-9520

SUBPOENA REQUEST FORM

ALL REQUESTS MUST BE APPROVED BY

THE JUDGE OR CHIEF CLERK


DATE: ____________________________________________

DOCKET # ________________________________________

TRIAL DATE: ______________________________________

DEFENDANT NAME: _______________________________

PERSON REQUESTING SUBPOENA___________________


WITNESS REASON WITNESS IS NEEDED NAME & ADDRESS


1. ____________________________ 1.______________________________________

______________________________ ______________________________________ _______________________________ ______________________________________

_______________________________ ______________________________________

2. ____________________________ 2.______________________________________

______________________________ ______________________________________ _______________________________ ______________________________________

_______________________________ ______________________________________


3_____________________________ 3.______________________________________

______________________________ ______________________________________ _______________________________ ______________________________________

_______________________________ ______________________________________


4. ____________________________ 4.______________________________________

______________________________ ______________________________________ _______________________________ ______________________________________

_______________________________ ______________________________________


5. ____________________________ 5.______________________________________

______________________________ ______________________________________ _______________________________ ______________________________________

_______________________________ ______________________________________

Granted: ______________

                                                                                      REQUESTED BY: _________________________

Denied: ______________


Date: ______________                                                                                  Revised 4/12/13