New Mexico Form 5020 2025

New Mexico Form 5020: What You Should Know

The report must be completed and signed (except the statement of your illness when you are ill.) A copy of this report is to be placed in a file at your place of work and used by your employer in determining benefits under your employment agreement. You must retain one copy of the report during your job duties at work. (It would be for your own files.) The copy with OSHA must be on file at your place of work in the same format as your personnel files and include the original report and the worker's handwritten summary, Form A-6.0(A). This form can also be faxed to. Workers' Compensation Board of Los Angeles — Compensation Review Division Please Complete Report of Injury or Illness by completing Form I, Application for Injury or Illness to an Employer, and sending it to our office. A copy of this form must be provided with your compensation claim so that we can assess the amount of benefits to which you are entitled. State Compensation Insurance and Claim Administration Division — Compensation Insurance Processes (PDF) Compassionate Use of Medical Marijuana Program Please Complete Report of Injury OR Illness by completing this form and mailing it to our office. The form should include your name, address, information regarding your illness as well as the type of marijuana, which product or cannabis strain you currently consume. A copy of this form is also available to download from the state government and is included in the State of California Medical eligibility. California Department of Alcoholic Beverage Control (ABC) — Compassionate Care Program for Marijuana A complete form for both medical marijuana and alcohol must be completed by each person. The complete form must include the name, address, and date of birth of the person seeking medical marijuana, marijuana possession by the person seeking marijuana, the number of marijuana plants or extracts that can be possessed for treatment, the amount of marijuana possessed by the person seeking marijuana, the number of marijuana plants or extracts that can be possessed for treatment, and any medical marijuana product, other than the tetrahydrocannabinol (THC) that may not include the THC of a marijuana strain specifically designated by a dispensary for use for medical marijuana purposes.

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