Summons For Application To Workers Compensation Judge
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Summons For Application To Workers Compensation Judge 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. SUMMONS FOR APPLICATION TO WORKERS222 COMPENSATION JUDGE TO: GREETINGS: You are directed to file a written response with the Clerk of the Workers222 Compensation Administration within 15 days of receipt of this Application If you do not file and serve a responsive pleading, the Workers222 Compensation Administration may enter a judgment against you for the relief demanded in the Application. Worker or filing party's representative: Address of Worker or filing party's representative: WITNESSED AND SEALED BY THE CLERK OF THE WCA American LegalNet, Inc. www.FormsWorkFlow.com