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STATE OF NEW MEXICO Taxation and Revenue Department Workers Compensation Fee Return Date: VEIN: WHO MUST FILE: Every employer who is covered by the Workers' Compensation Act is required to file and

How to fill out form wc-1 new mexico

How to fill out form wc-1 new mexico:

1. Gather all necessary information and documents required to complete the form, such as personal and contact information, description of the injury, and details of the accident.
2. Start filling out the top section of the form, including the name of the injured worker, employer, and insurance company. Provide the date and time of the accident as well.
3. Proceed to the next section and provide a thorough description of the injury sustained. Include details about the body part injured, the nature of the injury, and any medical treatment received.
4. In the following section, provide details about the accident itself. Specify the location, date, and time of the accident, as well as a description of how it occurred.
5. Next, fill out the employer's section of the form. Include the name, address, and contact information of the employer, as well as any witnesses to the accident.
6. Once you have filled out all the necessary sections, review the form for accuracy and completeness. Make sure all required fields are filled out and that there are no errors or missing information.
7. Sign and date the form at the bottom to certify its accuracy and completeness. If applicable, have the employer or insurance company representative also sign the form.
8. Keep a copy of the completed form for your records before submitting it to the appropriate entity, such as the Worker's Compensation Administration or your employer's insurance company.

Who needs form wc-1 new mexico:

1. Any worker in New Mexico who has sustained an injury while on the job and intends to file a worker's compensation claim needs form wc-1.
2. Employers in New Mexico are also required to provide form wc-1 to their employees who have reported a work-related injury or illness.
3. Insurance companies handling worker's compensation claims in New Mexico may request form wc-1 from the injured worker to process their claim.

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What is form wc-1 new mexico?

Form WC-1 New Mexico is the Employer's First Report of Injury or Illness. It is used to report work-related injuries or illnesses that occur in the state of New Mexico.

Who is required to file form wc-1 new mexico?

Employers in New Mexico are required to file Form WC-1 when an employee suffers a work-related injury or illness that requires medical treatment beyond first aid or results in lost time from work.

How to fill out form wc-1 new mexico?

To fill out Form WC-1 New Mexico, you need to provide information about the employer, employee, and the injury or illness. This includes details such as the date and time of the incident, the type of injury or illness, and the medical treatment received.

What is the purpose of form wc-1 new mexico?

The purpose of Form WC-1 New Mexico is to gather information about work-related injuries or illnesses in order to track them, provide proper benefits to eligible employees, and ensure compliance with workers' compensation laws in the state.

What information must be reported on form wc-1 new mexico?

Form WC-1 New Mexico requires information such as the employer's name and contact details, the injured employee's name and contact details, a description of the injury or illness, medical treatment received, and any lost time from work as a result of the incident.