STATE OF NEW MEXICO WORKERS COMPENSATION ADMINISTRATION _____________________________, WCA NO:_____________________ Worker, VS. _____________________________, and Employer, _____________________________, Insurer, JOINT WAIVER OF TEN DAY WAITING PERIOD _______________________, appearing for the Worker, and ____________________________, appearing for the Employer/Insurer jointly waive my right to the ten day waiting period for a judge assignment in the above caption cause as provided under New Mexico Workers Compensation Administration Rule 4.4.12.2.3. ______________________________ ____________________________________ Counsel for Worker/Pro Se Counsel for Employer/Insurer ______________________________ ____________________________________ ______________________________ ____________________________________ ______________________________ ____________________________________