We help business owners navigate New Mexico workers' comp rules.

At Workers' Compensation Shop.com we offer free access to New Mexico's workers' compensation forms, applications and guides. We strive to keep our library as up to date as possible.

As with all information we provide, please verify the accuracy of this information with the New Mexico Workers' Compensation Administration.

If you have questions about a workers' comp form, feel free to contact a specialist at 888-611-7467. We want to be your source for workers' compensation information, rates and quotes in New Mexico.

New Mexico Workers' Comp Insurance Forms

NM Acord 130 Workers' Compensation Application.

The standard Acord 130 application form for workers' comp coverage in New Mexico.

New Mexico First Report of Injury Form.

NM First Report of Injury Form. Employers should complete this form and send to their insurance company each time an injury occurs.

New Mexico Application for Exclusion of Officers and Stockholders.

Individuals, Sole Proprietors, Partners and Corporate Officers should complete this form to exclude themselves from a work comp policy.

New Mexico LLC Rejection of Workers' Compensation Coverage

This form allows LLC members to reject workers' compensation coverage for the state of New-Mexico.

New Mexico Election to Accept

Complete this form to elect to accept the provision of the New Mexico Workers' Compensation Act and Occupational Disease Disablement Law.

Executive Employee Affirmative Election

Complete this form if you are an executive officer and wish to be exempt from the Workers' Compensation Act.

Election to refuse the Coverage of the Workers' Compensation Act

Complete this form if you are a Sole Proprietor and you wish to refuse coverage under the Workers' compensation act.

Workers' Compensation Administration EDI Guide

The form includes instruction designed to help complete and file Employer's First Report of Injury or Illness and Notice of Benefit Payment electronic forms.

New Mexico Election to Reject Form for LLC Members

Complete this form if you are a member of an LLC, own at least 10% or more interest in the LLC, and wish to refuse coverage.

The Workers' Comp Coverage Guide for Employers and Insurance Agents

CA comprehensive guide to Workers' Compensation from the prospective of the employer and the insurance agent.

How to Develop a Safety Program

A step by step guide to developing and implementing your own Safety Program.

Workers' Comp Exemption

Each state has its own laws and requirements regarding when and how employers are allowed to opt-out of coverage under their workers' compensation policy. Some states make it easier than others because they don't require anything to be filed. Other states require special inclusion or exclusion affidavit documentation. Failure to comply often causes employers to have to pay premium on themselves even when they wanted to be excluded form coverage.

Waiver of Subrogation

A waiver of subrogation means that a business and their insurance company is foregoing all rights to file suit, or seek damages, from another business. This is common in the construction industry as builders attempt to protect their company from negligence. A workers' comp waiver of subrogation does not prevent an injured employee from filing a lawsuit for damages. This coverage typically add about $100 to the cost of a work comp policy.

Certificate of Insurance

A Certificate of Insurance is a document that serves as evidence of insurance or proof of coverage. Certificates indicate your current coverages and policy limits. Insurance Agencies issue on an insured's behalf and they often list a third party as a certificate holder. This means they should be notified if a policy cancels prior to expiration. Requests for any special wording should be carefully checked against the policy language before being added to a certificate as they can create legal issues with coverage.


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State Resources for NM

NM Workers' Compensation Administration

2410 Centre Ave SE
PO Box 27198
Albuquerque, NM 87125-7965
800-255-7965
www.workerscomp.state.nm.us/

New Mexico Mutual

3900 Singer Blvd. NE
PO Box 27825
Albuquerque, NM 87109
800-788-8851
http://www.nmmcc.com/

Workers' compensation insurance is required by law for New Mexico employers.

New Mexico forms and applications such as owners inclusion or exclusion forms are sometimes updated by the state. Contact us if you need help or can't find the workers' compensation form your need for New Mexico.

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Visit NCCI for more resources and information about workers' compensation class codes. Visit United States Department of Labor for more information about government agencies managing workers compensation insurance rates.

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