New Mexico > Workers Compensation
Notice Of Disqualification (Of Workers Compensation Judge) - New Mexico
| Notice Of Disqualification (Of Workers Compensation Judge) Form. This is a New Mexico form and can be used in Workers Compensation . |
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STATE OF NEW MEXICO WORKERS' COMPENSATION ADMINISTRATION ___________________________________________, Worker, v. ____________________________________________, and. ____________________________________________, Employer/Insurer. WCA No.___________ NOTICE OF DISQUALIFICATION The ____ Worker_____ Employer,_________________________________________________________________ (Name of filing party) gives notice that Judge________________________________________________________ is disqualified from adjudicating this cause. ____________________________________ Name ____________________________________ Address ____________________________________ City/State/Zip (___)______________ (___)____________ Telephone & Fax Number I certify a copy of this Notice of Disqualification was mailed to all parties this date___________________________. ________________________________________ (Signature of party mailing notice.) 11.4.4.9.18.2.G NMAC American LegalNet, Inc. www.FormsWorkFlow.com
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