STATE OF NEW MEXICO WORKERS222 COMPENSATION ADMINISTRATION , WCA No.: Worker, v. , and , Employer/Insurer. JOINT WAIVER OF DISQUALIFICATION , appearing for the Worker, and , appearing for the Employer/Insurer jointly waive the right to disqualify a judge in the above captioned cause Counsel for Worker/Pro Se Counsel for Employer Address Address City/State/Zip City/State/Zip Telephone Telephone E-mail address for service E-mail address for service American LegalNet, Inc. www.FormsWorkFlow.com