WORKERS' COMPENSATION FORMS
For Injuries Requiring Medical Treatment:- Authorization to Release Medical Information
- Benefits Explanation Form
- Claims Explanation Form
- Employer's First Report of Injury or Illness (PDF Format)
- Employer's First Report of Injury or Illness (Word Format)
- Notice of Accident Form
- Supervisor's Accident Investigation Report
- Employer's First Report of Injury or Illness (PDF Format)
- Employer's First Report of Injury or Illness (Word Format)
- Non-Medical Memo
- Notice of Accident Form
- Supervisor's Accident Investigation Report
Forward all completed forms to Human Resource Services at MSC 3HRS.
Workers' Compensation Procedures
- Benefit Services
- MSC 3HRS * P.O. Box 30001 * Las Cruces, NM 88003 * Hadley Hall, Room 14
- (505) 646-1741 * benefits@nmsu.edu