Instructions for downloading:
1. The sections are separated by categories and forms that pertain to that section are listed in the boxes.
2. When you locate the form you need, click on the icon for the specific format to download the form.
3. The formats are 
for Microsoft Word, for Microsoft Excel, or for Adobe PDF.
If you need to install the Adobe Acrobat Reader Program , download the program from the Adobe site. (It is free to download).
Note: Your browser may ask you to allow pop-ups from this website. Allow the pop-ups and double-click the form again. Please use one of the following browsers for the best website compatibility (Microsoft Edge, Chrome, Firefox or Safari)
Mac Users: Safari may block pop ups by default. You can go to your Safari menu, choose preferences and then change your security setting to allow pop-ups..
*Note: To Use Fillable Forms
When opening fillable forms, left click and check your downloads folder for the document. Fill out the form, save, and submit to Clerk of the Court.
Legal Forms - Mandatory
Please select the form and click on the link to download. Mandatory forms are rule-based forms.
Mandatory Forms
Application to Workers' Compensation Judge
Complaint with Two Employers/Insurers
Health Care Provider (HCP) Disagreement Form
Informal Response
Joint Request for Expedited Section 52-5-12 Hearing
Notice of Acceptance or Rejection of Recommended Resolution
Notice of Telephonic Conference Code
Petition for Lump Sum Payment
Request for Setting
Mandatory Forms (Continued)
Summons for Application to Director
Summons for Application to Workers' Compensation Judge
Summons for Petition for Lump Sum Payment
Summons for Workers' Compensation Complaint
Summons for Uninsured Employers' Fund (UEF) Complaint
Uninsured Employers' Fund (UEF) Complaint
Workers' Authorization for Use and Disclosure of Health Records (HIPAA)
Workers' Compensation Complaint
Legal Forms - Optional
Please select the form and click on the link to download.
Optional Forms
Change of Address
Form Letter to Health Care Provider
Joint Waiver of Disqualification
Notice of Change of Health Care Provider
Notice of Disqualification
Optional Forms (Continued)
ProSe Consent
ProSe Revocation
Request for Late Reset of Mediation Conference
Stipulated Recommended Resolution
Worker's Response
Legal Forms - Packets
Notice: Forms found in packets are put together so that filers know what forms are needed. Despite forms being together in a packet, when e-filing, forms must be filed individually.
Please select the form and click on the link to download.
Packets
Application to Workers' Compensation Judge Packet
Lump Sum Payment Packet
Out of State Health Care Provider Packet
Workers' Compensation Complaint Form Packet
Uninsured Employers' Fund (UEF) Packet
Miscellaneous Forms
Notice of Accident
Notice of Accident in two parts (download both pieces)
Report Fraud
Formularios de NMWCA
Instrucciones para descargar
1. Las secciones están divididas entre categoría y los formularios que pertenecen a la sección respectiva se encuentran listadas en cada cuadro o caja.
2. Cuando encuentra los formularios que necesita, puede hacer clic en el título de los formularios para descargar. El título es un enlace activo.
3. Los formatos son para Microsoft Word o para Adobe PDF.
Si necesita instalar el programa de Adobe Acrobat Reader , descargue el programa por medio del sitio web de Adobe. (Es un descargo gratis).
Nota: Es posible que su navegador le pregunte que permita pop-ups o elementos emergentes de este sitio web. Permita los pop-ups o elementos emergentes y haga doble clic en el formularios de nuevo. Por favor use unos de los navegadores siguientes para la mejor compatibilidad del sitio web (Microsoft Edge, Chrome, Firefox o Safari).
Usadores de Mac: Es posible que Safari bloquee los pop ups o elementos emergentes automáticamente. Para permitir los pop ups o elementos emergentes, vaya a su menú de Safari, seleccione preferencias y cambie/ ajuste sus preferencias de seguridad.
*Nota: Para Usar Los Formularios Rellenables
Cuando abra los formularios rellenables, haga clic a la izquierda y chequee su folder de descargos para el documento. Llene el formulario y enviarlo al secretario/a del tribunal.
Formularios Legales - Obligatorias
Por favor seleccione el formulario y haga clic el enlace para descargar. Formularios obligatorios son formularios basados por regla.
Formularios Obligatorias
Queja del Fondo de Empleadores No Asegurados
Formularios Obligatorias (Continuado)
Autorización del Trabajador para el Uso y Divulgación de Registros de Salud (HIPAA)
Formularios Legales - Paquetes
Aviso: Formularios que se encuentran en paquetes son juntados para que el/la archivador(a) sepa cuales formularios se necesitan. Aunque los formularios serán juntados en un paquete, cuando haga e-file, las formas serán archivadas individualmente.
Por favor seleccione el formulario y haga clic el enlace para descargar.
Paquetes
Insurance Forms
Please select the form and click on the link to download.
Self-Insurance
Data Reporting
Please select the form and click on the link to download.