New Mexico
Workers Compensation
199 Ratings

Last updated: 2/6/2025
Uninsured Employers Fund Complaint
Start Your Free Trial $ 15.99What you get:
- Instant access to fillable Microsoft Word or PDF forms.
- Minimize the risk of using outdated forms and eliminate rejected fillings.
- Largest forms database in the USA with more than 80,000 federal, state and agency forms.
- Download, edit, auto-fill multiple forms at once in MS Word using our Forms Workflow Ribbon
- Trusted by 1,000s of Attorneys and Legal Professionals
Description
WORKERS' COMPENSATION COMPLAINT. This form is utilized to initiate a formal dispute within the New Mexico Workers' Compensation system. This document allows workers, employers, insurers, or their legal representatives to file a complaint regarding issues such as eligibility for benefits, the extent of benefits, or other disputes arising under the Workers' Compensation Act. By submitting this form, the complainant formally requests the Workers' Compensation Administration to address and resolve the specified issues. www.FormsWorkFlow.com
Related forms
-
Application To Workers Compensation Judge
New Mexico/Workers Compensation/ -
Health Care Provider Disagreement Form
New Mexico/Workers Compensation/ -
Joint Waiver Of Disqualification
New Mexico/Workers Compensation/ -
Notice Of Acceptance Or Rejection Of Recommended Resolution
New Mexico/Workers Compensation/ -
Notice Of Change Of Health Care Provider
New Mexico/Workers Compensation/ -
Notice Of Disqualification
New Mexico/Workers Compensation/ -
Request For Setting
New Mexico/Workers Compensation/ -
Summons For Application To Workers Compensation Judge
New Mexico/Workers Compensation/ -
Executive Employee Affirmative Election
New Mexico/Workers Compensation/ -
Health Care Provider Disagreement Form - Request For Change Of Health Care Provider
New Mexico/Workers Compensation/ -
Revocation Of Prior Election Form
New Mexico/Workers Compensation/ -
Affidavit Of Safety Inspection
New Mexico/Workers Compensation/ -
Election To Be Subject To WC Act
New Mexico/Workers Compensation/ -
Informal Response
New Mexico/Workers Compensation/ -
Notice Of Change Of Address
New Mexico/Workers Compensation/ -
Subpoena
New Mexico/Workers Compensation/ -
Summons For Application To Director
New Mexico/Workers Compensation/ -
Summons For Petition For Lump Sum Payment
New Mexico/Workers Compensation/ -
Petition For Lump Sum Payment
New Mexico/Workers Compensation/ -
Workers Response To Complaint
New Mexico/Workers Compensation/ -
Form Letter To Health Care Provider
New Mexico/Workers Compensation/ -
EDI Trading Partner Profile (For FROI And SROI)
New Mexico/Workers Compensation/ -
Notice Of Telephonic Conference
New Mexico/6 Workers Compensation/ -
Joint Request For Expedited Hearing
New Mexico/Workers Compensation/ -
Application For Independent Medical Examiners
New Mexico/6 Workers Compensation/ -
Request For Late Reset Of Mediation Conference
New Mexico/Workers Compensation/ -
Workers Authorization For Use And Disclosure Of Health Records
New Mexico/Workers Compensation/ -
Workers Compensation Complaint
New Mexico/Workers Compensation/ -
Request For Directors Determination
New Mexico/6 Workers Compensation/ -
Summons For Workers Compensation Complaint
New Mexico/Workers Compensation/ -
Order Granting Approval Of Out Of State Provider
New Mexico/Workers Compensation/ -
Application To Director
New Mexico/Workers Compensation/ -
Notice Of Accident
New Mexico/Workers Compensation/ -
Complaint With Two Employers
New Mexico/Workers Compensation/ -
Providers Report
New Mexico/Workers Compensation/ -
Notification Of Inpatient Admission
New Mexico/6 Workers Compensation/ -
Enforcement Bureau Referral
New Mexico/6 Workers Compensation/ -
Uninsured Employers Fund Complaint
New Mexico/Workers Compensation/ -
Summons For Workers Compensation Complaint - UEF
New Mexico/Workers Compensation/ -
Stipulated Recommended Resolution
New Mexico/6 Workers Compensation/ -
Approval Of Out Of State Provider
New Mexico/Workers Compensation/
Form Preview
Sorry, we couldn't download the pdf file.
Our Products