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WORKERS COMPENSATION PROCEDURES & GENERAL INFORMATION PACKET PLEASE SUBMIT TO: LAPS Department of Risk Management & Legal Support Services 505 S. Main St. Ste 249 Las Cruces, NM 88001 5755275810 avalles@lcps.net

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How to fill out form workers compensation claim

01

Obtain the necessary workers' compensation claim form from your employer or the state workers' compensation board.

02

Fill out the form completely and accurately, providing all requested information such as your personal details, employer information, date of injury, and description of the incident.

03

Attach any supporting documentation, such as medical records or witness statements, to the form.

04

Submit the completed form to your employer or the state workers' compensation board within the designated time frame.

Who needs form workers compensation claim?

01

Employees who have suffered a work-related injury or illness and are seeking compensation for medical expenses and lost wages.

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What is form workers compensation claim?

Form workers compensation claim is a form that injured employees use to request benefits under the workers' compensation insurance policy.

Who is required to file form workers compensation claim?

Any employee who suffers a work-related injury or illness is required to file a form workers compensation claim.

How to fill out form workers compensation claim?

Employees should provide details about the injury, how it occurred, and any medical treatment received on the form workers compensation claim.

What is the purpose of form workers compensation claim?

The purpose of form workers compensation claim is to provide injured employees with financial and medical benefits while they are unable to work.

What information must be reported on form workers compensation claim?

Information such as the date of the injury, details of the injury, medical treatment received, and any witnesses to the incident must be reported on form workers compensation claim.

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