New Mexico > Workers Compensation
Summons For Application To Workers Compensation Judge - New Mexico
| Summons For Application To 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 , WCA No.: Worker, vs. , and , Employer. SUMMONS FOR APPLICATION TO WORKERS COMPENSATION JUDGE TO: . GREETINGS: You are directed to file a written response with the Clerk of the Workers Compensation Administration within 10 days of receipt of this Application, and to mail a copy of the response to the filing party within the same time period. You are notified that, unless you serve and file a responsive pleading or motion, the Workers Compensation Administratio n may enter a judgment against you for the relief demanded in the Complaint. Representative for Filing Party: Address of Filing Party: WITNESSED AND SEALED BY CLERK OF THE WCA (SEAL) By: Date: (EACH RESPONDING PARTY MUST BE NAMED IN THE SUMMONS) [6-1-96, 9-25-96] WCA Mandatory Forms 11 NMAC 4.4.9.18.2.I Summons for Application to Workers Compensation Judge
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