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RPD-41054 Rev. 08/2010 WC-1 -- WORKERS' COMPENSATION FEE FORM Beginning with calendar quarter ending September 30, 2004, the quarterly workers' compensation fee paid on Form WC-1 increased from $4
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How to fill out nm wc 1 form
How to fill out new mexico wc 1:
01
Obtain the new mexico wc 1 form, which can be downloaded from the official New Mexico Workers' Compensation Administration website or obtained from your employer.
02
Fill in your personal information, including your full name, address, phone number, and social security number, in the designated fields on the form.
03
Provide details about your employer, such as the name of the company, address, and contact information.
04
Specify the date and time of the accident or injury that occurred while you were on the job.
05
Describe the nature of the injury or illness in detail, including the body parts affected and any contributing factors.
06
Indicate whether medical treatment has been sought and provide the name and contact information of the medical provider.
07
Include any witnesses to the accident or injury and provide their names and contact information if applicable.
08
Sign and date the form.
09
Submit the completed form to your employer or the New Mexico Workers' Compensation Administration, as instructed.
Who needs new mexico wc 1:
01
Employees who have suffered a work-related injury or illness in New Mexico are typically required to complete the new mexico wc 1 form.
02
Employers may also need to keep a record of the completed form for their workers' compensation insurance and reporting purposes.
03
Additionally, medical providers may require the completed form as part of their documentation for providing treatment and billing.
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People Also Ask about
Does New Mexico require workers compensation insurance?
A company with three or more employees total, and at least one working in New Mexico, whether the employment is permanent, temporary or transitory, must carry workers' compensation insurance.
What is New Mexico WC tax?
The fee for covered employees working on the last day of the quarter is $2.00. Payment is due by the last day of the month following the end of the quarter. Employers must report and pay both fees using the form WC-1, Workers' Compensation Fee.
How much does workers comp pay in NM?
The TTD amount is paid at the full compensation rate, which is two-thirds the worker's average weekly wage, based on wages for the 26 weeks prior to the accident.
How does workmans comp work in NM?
Workers' compensation provides workers with: Payments for temporary indemnity benefits if an injured worker is unable to work and earn a paycheck. Survivor benefits for survivors of those killed on the job. Dispute resolution through the WCA's ombudsman, mediation and administrative court system.
Is workers Comp mandatory in New Mexico?
A company with three or more employees total, and at least one working in New Mexico, whether the employment is permanent, temporary or transitory, must carry workers' compensation insurance.
What is New Mexico workers compensation assessment fee?
Every employer required to be covered by the Workers' Compensation Act, or who elects to do so, and every employee covered by the Act, must pay a quarterly fee called the workers' compensation assessment fee. The fee is similar to a tax, and is $4.30 per employee per calendar quarter.
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What is New Mexico WC 1?
New Mexico WC 1 is a form used for reporting workplace injuries and accidents in New Mexico for workers' compensation claims.
Who is required to file New Mexico WC 1?
Employers who have employees that incur a work-related injury are required to file New Mexico WC 1.
How to fill out New Mexico WC 1?
To fill out New Mexico WC 1, employers should provide detailed information regarding the employee's injury, the circumstances of the incident, and relevant employee and employer details.
What is the purpose of New Mexico WC 1?
The purpose of New Mexico WC 1 is to facilitate the reporting and processing of claims for workers' compensation benefits for employees injured on the job.
What information must be reported on New Mexico WC 1?
New Mexico WC 1 must report the employee's details, the nature and cause of the injury, date of the incident, medical treatment provided, and any other relevant incident details.
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