New Mexico > Workers Compensation
Summons For Workers Compensation Complaint - New Mexico
| Summons For Workers Compensation Complaint 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 WORKERS COMPENSATION COMPLAINT TO: GREETINGS: You are directed to serve a written Response to the Workers Compensation Complaint not less than five (5) days prior to the mediation conference, and file the same, as provided by law. You are notified, unless you serve and file a responsive pleading or motion, that the filing party may apply to the Workers Compensation Administration for the relief demanded in the Workers Compensation Complaint. Representative for Filing Party: A ddress of Filing Party: WITNESSED AND SEALED BY THE CLERK OF THE WCA By: Date: (EACH ADVERSE PARTY MUST BE NAMED IN THE SUMMONS) WCA Mandatory Forms 11 NMAC 4.4.9.18.2.B Summons for Workers Compensation Complaint
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