How to Request a Subpoena

The subpoena form can be found at All Forms for Administrative Hearings. The following blanks on the form should be filled in by the requestor:

1. State of Tennessee (Agency): the state or local agency party (if applicable).
2. Case number: APD case number
3. In the Matter of: APD case name (In the Matter of: __________ v. __________)
4. To: (Name, Address & Phone Number of Witness): Name, address, and phone number of person(s) to be subpoenaed (the name must be provided even if you do not have an address or phone number).
5. Time, Date, and Place (three boxes): the time, date, and place for the person subpoenaed to appear.
6. Items to Bring: The items for the person subpoenaed to bring (if applicable)
7. This subpoena is being issued on behalf of (party): The party the subpoena is being issued on behalf of
8. Attorney/Representative (Name, Address & Phone Number): If the requesting party is represented by an attorney or other representative, name, address, and phone number of that individual

For further instructions, please see the Instructions-Subpoena page in All Forms for Administrative Hearings. 

If you are unable to download the form, you may request a subpoena form by mail to the following address:

Administrative Procedures Division
Office of Tennessee Secretary of State Tre Hargett
William R. Snodgrass Tennessee Tower
312 Rosa L. Parks Avenue, 6th Floor
Nashville, Tennessee 37243-1102

Please include a self-addressed stamped envelope for the subpoena form to be returned to you by mail.

After you have finished filling out the form, you should save the form as a PDF.

• Name the PDF file to include the case number, case name, and the person being subpoenaed.
• Example: 01.02-345678J Jones v. TennCare Subpoena Request to John Smith

Then attach the saved file to an email and send to APD.Filings@tn.gov.

If you do not have access to email, you may file the subpoena form by mail to the address listed above. Please include a self-addressed stamped envelope for the issued subpoena to be returned to you by mail.

Once APD returns the issued subpoena, the requesting party is responsible for serving the subpoena on the person/entity. The Return on Service in the form must be completed, signed, and dated by the party serving the subpoena, indicating the method of service and any relevant accompanying information depending on the method of delivery.

Once a subpoena has been served and the Return on Service section has been completed, a copy must be filed with APD by email or to the address listed above.