Free Recommended Forms - New Mexico

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STATE OF NEW MEXICO WORKERS' COMPENSATION ADMINISTRATION

_____________________________, Worker, VS. _____________________________, and Employer, _____________________________, Insurer,

WCA NO:_____________________

JOINT WAIVER OF DISQUALIFICATION AND WAIVER OF SERVICE OF PROCESS

_______________________, appearing for the Worker, and ____________________________, appearing for the Employer/Insurer jointly waive the right to disqualify a judge in the above captioned cause as provided under New Mexico Workers' Compensation Administration Rule 4.4.12.2.3. I, ________________________, appearing for the Worker/Employer/Insurer waive my right to the service of process of the _________________________________ in the above captioned cause at:

___________________________________ ___________________________________ ___________________________________ Pursuant to Rules of Civil Procedure for the District Courts of New Mexico Rule 1-004.

________________________ Signature of the person waiving service of process ________________________ Relationship to Entity/ Authority to Receive Service of Process ________________________ Date of Signature _____________________________ Counsel for Worker/Pro Se ______________________________ ______________________________ ______________________________ ____________________________________ Counsel for Employer ____________________________________ ____________________________________ ____________________________________

STATE OF NEW MEXICO WORKERS' COMPENSATION ADMINISTRATION

_____________________________, Worker, VS. _____________________________, and Employer, _____________________________, Insurer,

WCA NO:_____________________

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 ____________________________________ ____________________________________ ____________________________________

STATE OF NEW MEXICO WORKERS' COMPENSATION ADMINISTRATION

_____________________________, Worker, VS. _____________________________, and Employer, _____________________________, Insurer,

WCA NO:_____________________

WAIVER OF TEN DAY WAITING PERIOD _______________________, appearing for the Worker/Employer/Insurer 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.

________________________ Signature

________________________ Date of Signature

STATE OF NEW MEXICO WORKERS' COMPENSATION ADMINISTRATION

_____________________________, Worker, VS. _____________________________, and Employer, _____________________________, Insurer,

WCA NO:_____________________

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 as provided under New Mexico Workers' Compensation Administration Rule 4.4.12.2.3.

_____________________________ Counsel for Worker/Pro Se ______________________________ ______________________________ ______________________________

____________________________________ Counsel for Employer ____________________________________ ____________________________________ ____________________________________

STATE OF NEW MEXICO WORKERS' COMPENSATION ADMINISTRATION

_____________________________, Worker, VS. _____________________________, and Employer, _____________________________, Insurer,

WCA NO:_____________________

WAIVER OF DISQUALIFICATION

_______________________, appearing for the Worker/Employer/Insurer waive the right to disqualify a judge in the above captioned cause as provided under New Mexico Workers' Compensation Administration Rule 4.4.12.2.3.

_____________________________ Counsel for Worker/Pro Se ______________________________ ______________________________ ______________________________

____________________________________ Counsel for Employer ____________________________________ ____________________________________ ____________________________________

STATE OF NEW MEXICO WORKERS' COMPENSATION ADMINISTRATION

_____________________________, Worker, VS. _____________________________, and Employer, _____________________________, Insurer,

WCA NO:_____________________

WAIVER OF SERVICE OF PROCESS

I, ________________________, appearing for the Worker/Employer/Insurer waive my right to the service of process of the _________________________________ in the above captioned cause at:

___________________________________ ___________________________________ ___________________________________ Pursuant to Rules of Civil Procedure for the District Courts of New Mexico Rule 1-004.

________________________ Signature of the person waiving service of process ________________________ Relationship to Entity/ Authority to Receive Service of Process ________________________ Date of Signature

STATE OF NEW MEXICO WORKERS' COMPENSATION ADMINISTRATION

_____________________________, Worker, VS. _____________________________, and Employer, _____________________________, Insurer,

WCA NO:_____________________

JOINT WAIVER OF SERVICE OF PROCESS

I, ________________________, appearing for the Worker & ________________________ appearing for the Employer/Insurer waive our right to the service of process of the _________________________________ in the above captioned cause at: ___________________________________ ___________________________________ ___________________________________ Pursuant to Rules of Civil Procedure for the District Courts of New Mexico Rule 1-004. ________________________ Signature of the Worker waiving service of process ________________________ Relationship to Entity/ Authority to Receive Service of Process ________________________ Date of Signature ________________________ Signature of the Employer/Insurer waiving service of process ________________________ Relationship to Entity/ Authority to Receive Service of Process ________________________ Date of Signature