Get First Report Of Injury - New Mexico Workers Compensation ... 2020-2025

Call the nearest OSHA office. Call the OSHA 24-hour hotline at 1-800-321-6742 (OSHA).

Workers' compensation provides workers with: Payments for temporary indemnity benefits if an injured worker is unable to work and earn a paycheck. Survivor benefits for survivors of those killed on the job. Dispute resolution through the WCA's ombudsman, mediation and administrative court system.

Form IA-1 Employer's First Report of Injury or Occupational Disease (FROI). As soon as you have been notified of a work-related injury, please fill out this form and submit it to EMPLOYERS. This form must be completed within 10 days from notice of a work-related injury. Fatalities must be reported within 24 hours.

➢ The first seven calendar days of lost time is considered a waiting period by the New Mexico Workers' Compensation Act. The waiting period is paid if there is a total of twenty-eight days of lost wages as the result of a provider excusing or restricting the employee from work.

Full name of person injured, full name of witness, date, and time of the incident. Name of supervisor. Specific location that the incident occured. Full details of the injury.

Your employer should fill out the “employer” section and forward the completed claim form to the insurance company. You should receive a copy of the completed claim form from your employer. If you don't, request a copy and keep it for your records.

Form DWC-1 Employer's First Report of Injury or Occupational Disease. The employer is required to submit this form with EMPLOYERS and the injured employee or the injured employee's attorney within eight days after the employee's absence from work or notice of the Injury or Occupational Disease.

The Employer's Report of Occupational Injury or Illness (Form 5020). Every employer is required to file a complete report of every occupational injury or illness to each employee which results in lost time beyond the date of injury or illness or which requires medical treatment beyond first aid*.