Workers' Compensation Administration

State of New Mexico

Official Website: https://www.nm.gov/departments-and-agencies/workers-compensation-administration/

Forms & Documents

Browse all Workers' Compensation Administration government forms

1 - 20 of 53 forms

Form Title Topics
Additional Page if Needed
Application to Director
Application to Director Packet
Application to Workers’ Compensation Judge
Application to Workers’ Compensation Judge Packet
Autorización de los trabajadores para el uso y la divulgación de registros de salud (HIPPA)
Change of Address
Clerk of the Court Contact Information
Complaint with Two Employers/Insurers
EDI Trading Partner Profile: E7
Election to be Subject
Empleadores sin seguro fundan queja
Executive Employee Affirmative Election
Form Letter to Health Care Provider
Health Care Provider (HCP) Disagreement Form
Informal Response
Inpatient Medical Data: E9
Joint Request for Expedited Section 52-5-12 Hearing
Joint Waiver of Disqualification
Lump Sum Payment Packet

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