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NEW MEXICO WORKERS\' COMPENSATION ADMINISTRATION EMPLOYERS\' FIRST REPORT OF INJURY OR ILLNESS 2410 CENTRE AVE. SE PO BOX 27198 ALBUQUERQUE, NM 871257198 OFFICIAL USE ONLY PLEASE PRINT IN BLACK INK
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How to fill out new mexico workers compensation

01
Obtain the New Mexico Workers' Compensation application form from the New Mexico Workers' Compensation Administration website or your employer.
02
Carefully read the instructions provided with the application form.
03
Fill out the employee information section, including your name, address, and contact information.
04
Provide details about your employer, including their name, address, and the nature of your employment.
05
Describe the circumstances of your injury or illness, including the date it occurred and how it happened.
06
Include any medical information relevant to your claim, such as the names of healthcare providers and the treatments received.
07
Review the completed application for accuracy and completeness.
08
Submit the application to the appropriate workers' compensation board or office in New Mexico, either online or via mail.
09
Keep a copy of the application and any correspondence for your records.

Who needs new mexico workers compensation?

01
Employees who suffer work-related injuries or illnesses.
02
Employers who are required to provide workers' compensation insurance to their employees.
03
Self-employed individuals who choose to opt into workers' compensation coverage.
04
Temporary and part-time workers who may experience work-related injuries.
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New Mexico workers' compensation is a form of insurance providing wage replacement and medical benefits to employees injured in the course of employment, without regard to fault.
Employers in New Mexico who have three or more employees are required to file for workers' compensation insurance.
To fill out New Mexico workers' compensation forms, employers must complete the specific forms provided by the New Mexico Workers' Compensation Administration, detailing the nature of the injury, employee information, and incident details.
The purpose of New Mexico workers' compensation is to ensure that injured workers receive prompt and fair compensation for work-related injuries, while also protecting employers from lawsuits.
Information that must be reported includes the employee's name, nature of the injury, date of the incident, and any medical treatment provided.
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