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Downloadable Forms
Click on the links below to jump to that section:
Please note: In most cases, forms are available in both PDF and Word formats for your convenience. Click on the associated link to download. If you have any questions about these forms, please contact the listed Bureau at the Albuquerque office at 505-841-6000, or if you are calling outside Albuquerque, try our In-state toll free number at 1-800-255-7965.
Inpatient Hospital Data
For questions regarding this material, please contact Jeff Bjarke, Economic Research Bureau, 505-841-6073
Booklets
For information for workers and employers please refer to the Injured Worker WorkBook and the Employer Guidebook. If further information is required please refer to the Workers' Compensation Act § 52 or call for an Ombudsman at 1-866-967-5667.
Complaint and Related Forms
For questions regarding these forms, please contact the Clerk of the Court.
DANA CHAVEZ
CLERK OF THE COURT |
841-6810 |
| Docket Clerk |
841-6066 |
| Annette Griego, Docket Clerk |
841-6095 |
| Trudy Sisneros, Docket Clerk |
841-6058 |
| Cecilia Spinks, Docket Clerk |
841-6065 |
| Kiley Hernandez, Docket Clerk |
841-6077 |
| Mary Salazar, Records Clerk |
841-6826 |
If you would like to file a complaint for workers' compensation benefits, please download the "Complaint Form Packet." Download the "Application to W.C. Judge Packet" if you would like to file an application for:
- Physical Examination of the Worker
- Independent Medical Examination
- Supplemental Compensation Order
- Determination of: Bad Faith/Unfair Claims Practices, Fraud, Retaliation
- Attorney Fees
- Other relief
EDI and Filing Guidelines
For questions regarding this material, please contact Jeff Bjarke, Economic Research Bureau, 505-841-6073.
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New Mexico Workers' Compensation Administration
2410 Centre Avenue SE :: P.O. Box 27198 :: Albuquerque, NM 87125-7198
Telephone: 505-841-6000 :: In-state Toll Free: 1-800-255-7965
One Team, One Goal: A Better New Mexico for Workers and Employers
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