Form 1-C Conditional Employee or Food Employee Medical Referral - New Mexico

Form 1-C Conditional Employee or Food Employee Medical Referral - New Mexico

What Is Form 1-C?

This is a legal form that was released by the New Mexico Environment Department - a government authority operating within New Mexico. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 1-C?
A: Form 1-C is a medical referral form for employees or food employees in New Mexico

Q: Who needs to fill out Form 1-C?
A: The form needs to be filled out by employees or food employees in New Mexico who require a medical referral.

Q: What is the purpose of Form 1-C?
A: The purpose of Form 1-C is to provide a medical referral for employees or food employees in New Mexico.

Q: Is there a fee for Form 1-C?
A: No, there is no fee for Form 1-C.

Q: What information is required on Form 1-C?
A: Form 1-C requires information such as the employee's name, date of birth, medical condition, and medical provider details.

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Form Details:

  • The latest edition provided by the New Mexico Environment Department;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 1-C by clicking the link below or browse more documents and templates provided by the New Mexico Environment Department.

Download Form 1-C Conditional Employee or Food Employee Medical Referral - New Mexico

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