Chapter 97 Workers' Compensation Act Article 1 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your Federal Employer Identification Number (FEIN), New Mexico Business Tax Identification Number (NMBTIN), and Employer Account Number (EAN) in the designated fields.
3. Fill in your name, street address, city, state, and ZIP code accurately to ensure proper identification.
4. On Line 1, input the number of covered workers employed on the last working day of the report period. If there are none, enter zero.
5. Complete the assessment fee based on the number of covered workers. If applicable, include any penalties or interest in their respective fields.
6. Calculate and enter the total amount due in the final field.
7. Sign and date the form, then provide your phone number and email address for contact purposes.
8. Retain the top portion for your records and mail the bottom portion along with payment to the Taxation and Revenue Department at the specified address.

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