Workers' Compensation Forms And Process

Step 1

Employees are responsible for reporting injuries to their supervisor immediately. Failure to notify your supervisor in a timely manner may result in denial of your workers' compensation claim.

Step 2

Supervisors are responsible for reporting any incidents involving employee injuries here.

Step 3

Once Risk Services receives the incident report, we will reach out to the employee to explain the claim process and provide the forms below. For Risk Services to file your claim, we must receive these completed forms.

To protect your personal information, please utilitze our Secure Upload to submit your forms or hand deliver them to our office.  Please do not email sensitive information. Please note you will need to be on a UNM Network, UNM VPN or use the website unmvpn.unm.edu and navigate to this page on our website to access the Secure Upload box. 

-Workers' Compensation Packet for Employees who work within Bernalillo County

-Workers' Compensation Packet for Employees who work outside of Bernalillo County

This packet includes 2 forms that must be completed in addition to the incident report.   

• Page 1 is the Notice of Accident or Occupational Disease Disablment form. Please note this form should be signed by the employee where indicated and signed by the employee's supervisor on the employer or representative line. 
• Page 2 is the First Report of Accident form. This page must be filled out completely in order for us to file your claim.

Please complete these pages to the best of your memory and ability and be as detailed as possible. If necessary, you may attach an additional sheet to better explain the incident.  

If you have any questions about these forms or the workers' compensation claims process, please contact Risk Services directly here.