Claims

Liability, Property, Casualty:

To file a Claim Notice, fill out the appropriate Loss Notice Form and file per the below guidelines:

  • Property claims: file within 30 days
  • Liability claims: file within 7 days of receipt from claimant; Notice of Tort Claim may be submitted by email: Liability Claims

Worker's Compensation:

Worker's Compensation Claims

  1. Notice of Accident Form (PDF)
  2. Employers First Report of Injury or Illness (E-1) (PDF)
  3. Workers Compensation Average Weekly Wage Worksheet (PDF)
  4. HIPAA Complaint Medical Release Form (PDF)
  5. NMSIF Medical Travel Reimbursement Request NEW 1-11-23 (PDF)
  6. Choice of Healthcare Provider (PDF)

Liability Claims

  1. Notice of Tort Claim Form (PDF)
NMSIF logo

Submit a Claim via Email:

Email Liability Claims

Email Worker's Comp


Contact Us

  1. Ida Spence

    Claims Manager
    Email Ida Spence
    Phone: 505-992-3516

Property Claims

  1. Property Loss Claim Form (PDF)
  2. Auto Physical Damage Loss Claim Form (PDF)
  3. Inland Marine Equipment Loss Claim Form (PDF)

Property Claims (Fillable Forms)

  1. Property Loss Claim Fillable Form (PDF)
  2. Inland Marine Equipment Loss Claim Fillable Form (PDF)
  3. Auto Physical Damage Loss Claim Fillable Form (PDF)

General NMSIF Forms & Guidance

  1. IRS W9 (PDF)
  2. NMSIF Facility Rental Guidance (PDF)
  3. NMSIF Self-Serve Portal User Guide