![Untitled_design__1_ Health Insurance header image](https://www.generalservices.state.nm.us/wp-content/uploads/2021/02/Untitled_design__1_.jpg)
Resources
Workers’ Compensation Injury Forms Packet
The forms identified below can be downloaded for your convenience and will assist you in filing a Workers’ Compensation Claim. All claims must be filed via secure electronic portal at CCMSI iCE website. For further assistance, please email Kindra at lutz@ccmsi.com or call (505) 837-8763.
Notice of Accident or Occupational Disease Disablement (pdf)
Employers' First Report of Injury (pdf)
Authorization to Release Medical Information (pdf)
CCMSI iCE Tutorial for Workers' Compensation (pdf)
Note: You may type directly into these forms. In order to do this, please download the latest Adobe Reader.