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New Mexico Form Center

Welcome to the most extensive library of workers' compensation forms available anywhere. Almost 3,000 forms are available for your immediate download and use. Our forms, all of which have been custom programmed by WorkersCompensation.com for Type & Save functionality, are available for individual purchase below.

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		(e1) Employer’s First Report of Injury - 7/02
		(e6) Notice of Benefit Payment (Subsequent Report) - N/D
		(e7) Trading Partner Profile - 10/95
		(e8) Proof of Coverage Profile - N/D
		(e9) Inpatient Medical Data Provider Partner Profile - 1/06
		(e10-1) New Mexico Workers Compensation Administration - 2006
		(summons) Summons for Workers' Compensation Complaint - 1/07
		(wcjudge) Application to Workers' Compensation Judge - N/D
		(response) Response to Worker's Complaint - 1/07
		(accept reject) Notice of Acceptance or Rejection of Recommended Resolution - 1/07
		(disqualify) Notice of Disqualification - 1/07
		(summonsjudge) Summons for Application to Workers' Compensation Judge - 9/96
		(subpoena) Subpoena or Subpoena Duces Tecum - 1/07
		(setting) Request for Setting - N/D
		(hcp-object) Health Care Provider Disagreement Form - N/D
		(ls petition) Petition for Lump Sum Payment - 1/07
		Instructions for filing Complaints, Application to WCJ, Lump Sum, HCP, & check lists for the above. - N/D
		(hcp-state) Approval of out of state health care provider forms - N/D
		(hcp-change) Notice of Change of Health Care Provider - N/D
		(hcp-letter) Form Letter to Health Care Provider - 1/07
		(hipaa) Worker’s Authorization For Disclosure Of Protected Health Information For Workers’ Compensation Purposes (Hipaa Compliant) - 1/07
		(hipaa-sp) Autorización De Los Trabajadores Para La Revelación De Información Médica Preservada Para Propósitos De La Compensación A Los Trabajadores(Reclamación Hipaa) - 1/07
		(clerkphone) Phone Numbers for Clerk of the Court - N/D
		(cba1) Affirmative Election: for qualified executive employees of a corporation who choose to exempt themselves from coverage under their company's policy. - 10/07
		(cba2) Election to Accept: for employers who are not required by law to have coverage, but wish to do so anyway (such as non-construction employers with fewer than three employees). - 10/07
		(cba3) Revocation of any WC/CB application - 10/07
		(cba4) Limited Liability Company Affirmative Election: for those qualified executive participants in a “limited liability” company who choose to exempt themselves from coverage under their company's policy - 10/07
		(complaint) Workers Compensation Complaint form - 1/07
		(workers response) Workers Response to Complaint - 1/07
		(sole) Sole Proprietor Affirmative Election Form - 8/05
		(elect refuse) Election To Refuse The Coverage Of The Workers Compensation Act - 1/07
		(application) Application For Individual Self-Insurance - 8/02
		(board resolution) Resolution Of Board Of Directors - N/D
		(bond group) Surety Bond (Group)- 8/03
		(bond ind) Surety Bond (Individual) - 9/03
		(endorsement group) New Mexico Amendatory Endorsement (Group)- 9/03
		(endorsement ind) New Mexico Amendatory Endorsement (Individual) - 9/03
		(fraud poster) Fraud Poster - N/D
		(hcpobject) Health Care Provider Disagreement Form - N/D
		(letter credit group) Irrevocable Standby Letter Of Credit (Group) - N/D
		(letter credit ind) Irrevocable Standby Letter Of Credit (Individual) - N/D
		(parental guaranty) Parental Guaranty - 11/02
		(poster8x11) POSTER "If You Are Injured At Work" (8 x 11)- 3/07
		(poster11x17) POSTER "If You Are Injured At Work" (11 x 17)- 3/07
		(recomforms) Waiver Forms - N/D
		(sole) Sole Proprietor Affirmative Election Form - 10/07

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