Notice Of Acceptance Or Rejection Of Recommended Resolution Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Notice Of Acceptance Or Rejection Of Recommended Resolution Form. This is a New Mexico form and can be use in Workers Compensation.
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STATE OF NEW MEXICO WORKERS222 COMPENSATION ADMINISTRATION , WCA No.: Worker, v. , and , Employer/Insurer. NOTICE OF ACCEPTANCE OR REJECTION OF RECOMMENDED RESOLUTION YOU MUST FILE THIS NOTICE WITHIN THIRTY (30) DAYS OF YOUR RECEIPT OF THE RECOMMENDED RESOLUTION OR THE RECOMMENDED RESOLUTION WILL BECOME FINAL AND BINDING. 1.(Name of the party filing this notice): gives notice the Recommended Resolution of the Mediator is: Accepted Rejected 2. The Recommended Resolution is rejected because: Signature Date Name of filing party Address City/State/Zip Telephone E-mail address for service American LegalNet, Inc. www.FormsWorkFlow.com