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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 Online First Report. For further assistance, please contact our Bureau by calling (505) 827-2036 or 1-800-510-5093.
NOTE: RMD/WCB will be unable to accept the Workers’ Compensation Claims submitted unless all forms are completely filled out and submitted to the WCB.
Note:  You may type directly into these forms. In order to do this, please download the latest Adobe Reader.