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 firstname.lastname@example.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 220.127.116.11B.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
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.
District Workers’ Compensation Contact Person – Samentha Platero 505-721-1186 email@example.com
School Workers’ Compensation Contact Person – Please see your school Principal or Work site Supervisor
CCMSI – 505-837-8700 www.ccmsi.com