Request For Setting And Notice Of Hearing
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Request For Setting And Notice Of Hearing Form. This is a New Mexico form and can be use in Workers Compensation.
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Tags: Request For Setting And Notice Of Hearing, New Mexico Workers Compensation,
STATE OF NEW MEXICO
WORKERS' COMPENSATION ADMINISTRATION
,
WCA No.:
Worker,
vs.
, and
Employer,
,
Insurer.
REQUEST FOR SETTING
WCA Judge assigned:
Are any other hearings currently set?
Yes
No
If yes, please indicate the date of the hearing:
Specific matter to be heard:
Time required for hearing:
Names/addresses/phone & fax of all counsel/parties pro se entitled to notice:
1.
2.
3.
4.
5.
NOTICE OF HEARING
This matter will be heard before Judge
19
, at
at:
on
a.m./p.m. with
,
hours/minutes allocated for hearing
(
)
WCA Office
2410 Centre Ave. SE
Albuquerque, New Mexico 87125-7198
(505) 841-6000
or (
)
By: Calendar Clerk
Notice Mailed
,20
, by
.
Counsel are expected to appear:
(
) in person (
) by telephone conference call.
STAMPED ENVELOPES FOR ALL PARTIES MUST BE SUBMITTED WITH REQUEST
WCA Mandatory Forms 11 NMAC 4.4.9.18.2K Request for Setting and Notice of Hearing
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