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Notice Of Appeal (Workers Compensation Appeal) Form. This is a New Mexico form and can be use in Court Of Appeals Appellate Courts.
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Tags: Notice Of Appeal (Workers Compensation Appeal), New Mexico Appellate Courts, Court Of Appeals
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
This is a Notice of Appeal for a WORKERS’ COMPENSATION APPEAL to the New Mexico Court
:
Calendar No.
of Appeals. You must type or word process all of the information required on this form. File a Case
Information Sheet with this Notice of Appeal. File the original of this Notice of Appeal with the
:
JUDICIAL SUBPOENA
Plaintiff(s)
Court of Appeals.
-against-
:
IN THE COURT OF APPEALS OF THE STATE OF NEW MEXICO
:
:
,
(full name of the worker)
Defendant(s)
:
......................................................
Worker-Appell
,
vs.
Court of Appeals Number:
THE PEOPLE OF THE STATE OF NEW YORK
(LEAVE BLANK)
WCA Number:
(complete WCA Number)
WCA Judge:
(Name of Judge)
TO
GREETINGS:
,
(full name(s) of the Employer/Insurance Company)
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
Employer-Appell
,
located at
County of
Insurer-Appell
,
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
NOTICE OF APPEAL
Your failure to comply
1.
The party appealing is:with this subpoena is punishable as a contempt of court and will make.you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
(Your full name)
result of your failure to comply.
2.
Court in
3.
I am appealing against
.
Witness, Honorableof the party (or parties) you are appealing against.) Justices of the
, one of the
(Enter the name(s)
County,
day of
, 20
I am appealing the orders or judgments listed below: (Attach copies of these orders/judgments
to this Notice.)
(Attorney must sign above and type name below)
(1)
Date of Order/Judgment
(2)
Date of Order/Judgment
(3)
Date of Order/Judgment
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
4.
5.
Index No.
I am appealing to the New Mexico Court of Appeals.
:
Calendar No.
If you will have counsel on appeal, enter your attorney’s full name and address here:
Plaintiff(s)
Name:
-against-
:
JUDICIAL SUBPOENA
:
Address:
:
City, State, Zip:
:
Telephone:
Defendant(s)
:
......................................................
Sign this form below. Be sure you attach an affidavit of service.
THE PEOPLE OF THE STATE OF NEW YORK
TO
Respectfully submitted:
Sign your name:
Print or type your name:
GREETINGS:
Your address:
City, State, Zip Code:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
Telephone Number:
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
You must type or word process all of the information required on this form.
:
AFFIDAVIT OF SERVICE
COMPENSATION APPEAL
FOR NOTICE
Plaintiff(s)
-against-
Calendar No.
OF APPEAL
:
IN
A
WORKERS’
JUDICIAL SUBPOENA
:
(your full name), being duly sworn upon his or her oath or affirmation,
:
hereby declares under penalty of perjury that he or she [mailed] [personally delivered] (circle or
:
underline one of the foregoing - the one that you did) the foregoing notice of appeal to the following
Defendant(s)
:
.people. or .entities . . .the .addresses .indicated. on .this . . . . . . . . .
. . . . . . . . . . . . . at . . . . . . . . . . . . . . . . . . . . . .
day of
,
.(put the date you mailed or delivered the notice of appeal)
The following spaces are for the names and addresses of the people you are required to mail or
THE PEOPLE OF THE STATE OF NEW YORK
deliver the notice of appeal to. You must fill them all in. The WCA clerk or the judge’s secretary may
TO
be able to help you with these names and addresses.
GREETINGS: OF COURT
CLERK
WORKERS’ COMPENSATION ADMINISTRATION
WE BOX 27198
P.O. COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
ALBUQUERQUE, NM 87106
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
(name of the WCA judge)
(street or P.O. address of the WCA judge)
(city, as a and zip of court and will make
Your failure to comply with this subpoena is punishable statecontempt code of WCA judge) you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
(name of opposing counsel)
Witness, Honorable
Court in
County,
, one of the Justices of the
(street or P.O. address of opposing counsel)
day of
, 20
(city, state and zip code of opposing counsel)
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
(name of the court reporter or monitor)
:
Calendar No.
(street or P.O. address of court reporter or monitor)
:
Plaintiff(s)
(city, state and zip code ofJUDICIAL SUBPOENA
court reporter or monitor)
-against-
:
:
(Sign your name in front of Notary Public)
:
Defendant(s)
:
......................................................
Subscribed and sworn to before me this
day of
,
.
THE PEOPLE OF THE STATE OF NEW YORK
Notary Public
My
TO Commission Expires:
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
