Get State Of New Mexico Workers' Compensation Administration New ...

Filling out the State Of New Mexico Workers’ Compensation Administration Affirmative Election Form is an important task for executive employees who choose to opt out of workers' compensation coverage. This guide provides clear, step-by-step instructions to assist users in submitting the form online accurately and efficiently.

Follow the steps to complete the Affirmative Election Form in a few easy steps.

1. Press the ‘Get Form’ button to access the Affirmative Election Form and open it for completion.
2. In the first line, enter your name as it appears on official documents, identifying yourself as a ‘worker’ per the definitions provided in the New Mexico Workers’ Compensation Act.
3. In the next field, fill in the name of your corporation as it is registered, signifying that you are employed by an entity subject to the applicable laws.
4. Indicate your choice regarding the acceptance of the provisions of the Workers’ Compensation Act by marking the affirmation stating that you do not accept the provisions.
5. Confirm that you meet all qualifications to affirmatively elect not to accept these provisions by checking the appropriate boxes that apply to your status as an executive officer or stockholder.
6. Understand and acknowledge your responsibilities regarding this Affirmative Election by reading the provided statements carefully before signing.
7. Affix your signature in the designated area, ensuring that it is done in the presence of a notary public.
8. Fill in your UI Number and Executive Title, as well as your FE ID Number, where specified.
9. Complete the notary section, ensuring the notary public signs and dates the document, and includes their commission expiration.
10. After completing the form, review all entries for accuracy before saving any changes, downloading, printing, or sharing the form as needed.

Complete your workers' compensation form online today for a smoother process.