Summons For Application To Workers Compensation Judge | Pdf Fpdf Docx | New Mexico

 New Mexico   Workers Compensation 
Summons For Application To Workers Compensation Judge | Pdf Fpdf Docx | New Mexico

Last updated: 4/9/2019

Summons For Application To Workers Compensation Judge

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Description

STATE OF NEW MEXICO WORKERS222 COMPENSATION ADMINISTRATION , WCA No.: Worker, v. , and , Employer/Insurer. SUMMONS FOR APPLICATION TO WORKERS222 COMPENSATION JUDGE TO: GREETINGS: You are directed to file a written response with the Clerk of the Workers222 Compensation Administration within 15 days of receipt of this Application If you do not file and serve a responsive pleading, the Workers222 Compensation Administration may enter a judgment against you for the relief demanded in the Application. Worker or filing party's representative: Address of Worker or filing party's representative: WITNESSED AND SEALED BY THE CLERK OF THE WCA American LegalNet, Inc. www.FormsWorkFlow.com

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