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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
Step 1: Gather necessary information about the employee, including their personal details and job title.
02
Step 2: Collect all relevant medical documentation related to the injury or illness.
03
Step 3: Fill out the New Mexico Workers' Compensation Claim Form, providing details about the incident, injury, and treatment.
04
Step 4: Include any required supporting documents, such as incident reports or witness statements.
05
Step 5: Submit the completed claim form and supporting documentation to your employer or their insurance carrier.
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Step 6: Keep a copy of the submitted claim for your records and follow up for updates.

Who needs new mexico workers compensation?

01
Any employee who is injured on the job or develops a work-related illness in New Mexico.
02
Employers with three or more employees are required by law to provide workers' compensation coverage.
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New Mexico workers' compensation is a state-mandated insurance program that provides medical benefits and wage replacement to employees who are injured on the job or suffer from job-related illnesses.
All employers in New Mexico with three or more employees are required to carry workers' compensation insurance or to qualify as self-insurers under the state's workers' compensation laws.
To fill out a New Mexico workers' compensation claim, an injured employee must report the injury to their employer, complete a claim form provided by the employer or the insurance provider, and submit it along with any necessary medical documentation.
The purpose of New Mexico workers' compensation is to provide financial support and medical care to workers who are injured while performing their job duties, ensuring they receive necessary treatment and income during their recovery.
Information that must be reported includes the employee's personal details, the nature of the injury or illness, the date and location of the incident, and any medical treatment received.
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