Notice Of Acceptance Or Rejection Of Recommended Resolution | Pdf Fpdf Docx | New Mexico

 New Mexico   Workers Compensation 
Notice Of Acceptance Or Rejection Of Recommended Resolution | Pdf Fpdf Docx | New Mexico

Last updated: 4/9/2019

Notice Of Acceptance Or Rejection Of Recommended Resolution

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Description

STATE OF NEW MEXICO WORKERS222 COMPENSATION ADMINISTRATION , WCA No.: Worker, v. , and , Employer/Insurer. NOTICE OF ACCEPTANCE OR REJECTION OF RECOMMENDED RESOLUTION YOU MUST FILE THIS NOTICE WITHIN THIRTY (30) DAYS OF YOUR RECEIPT OF THE RECOMMENDED RESOLUTION OR THE RECOMMENDED RESOLUTION WILL BECOME FINAL AND BINDING. 1.(Name of the party filing this notice): gives notice the Recommended Resolution of the Mediator is: Accepted Rejected 2. The Recommended Resolution is rejected because: Signature Date Name of filing party Address City/State/Zip Telephone E-mail address for service American LegalNet, Inc. www.FormsWorkFlow.com

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