Skip alert-panel

It is imperative that we ensure our employee’s get the pay, care and support they need by processing their paperwork in a timely manner.

Samentha Platero Workers’ Compensation Tech 505-721-1186 splatero@gmcs.org
New Mexico Workers’ Compensation Administration

THE EMPLOYER FIRST REPORT OF ACCIDENT MUST BE FILLED OUT AND GIVEN TO SAMENTHA PLATERO IN PERSONNEL WITH 72 HOURS OF THE INCIDENT

Workers’ Compensation Rule 11.4.3.13B.4. documents that the employer, GMCS, has 72 hours to send the First Report a WC claims administrator. This means that once the worker presents notice to the supervisor or other person designated that takes WC notices, GMCS has 72 hours to report it to CCMSI.

Workers’ Compensation Blank Packet

Workers’ Compensation Blank Packet (PDF)

Worker’s Compensation Poster

All Gallup McKinley County Schools and work sites are required by law to post this poster where employees can read it and have immediate access to the Notice of Accident forms by attaching the NOA to the poster. This poster without Notice of Accident forms does not comply with law. The Workers’ Compensation poster and Notice of Accident form are linked below and downloadable as PDF’s.

The poster must be placed in a prominent area accessible 24 hours per day with a minimum of ten (10) Notice of Accident forms attached at all times. The Notice of Accident forms have a small circle at the top of the page, align the circle with the circle on the bottom of the Workers’ Compensation poster as the form MUST be attached.

Notice of Accident (PDF)
Workmans Comp Poster (PDF)

Contact Information

District Workers’ Compensation Contact Person – Samentha Platero 505-721-1186 splatero@gmcs.org

School Workers’ Compensation Contact Person – Please see your school Principal or Work site Supervisor

CCMSI – 505-837-8700 www.ccmsi.com

Documents