A. Format:

STATE OF NEW MEXICO

BEFORE THE OCCUPATIONAL HEALTH AND SAFETY REVIEW COMMISSION

[NAME OF COMPLAINANT OR PETITIONER],

[complainant/Petitioner],

v. No. [insert case no.]

[NAME(S) OF RESPONDENT(S)],

respondent[s].

NOTICE OF SERVICE OF

[RESPONSE TO] [TYPE OF DISCOVERY]

Notice is hereby given that a [Response to] [Type of Discovery] was served upon [Name of Party], by [type of service], on [date].

[Signature] _______________________________

[TYPED OR PRINTED

NAME]

[Address of signer (use as many lines as necessary)]

[Signer’s telephone number]

B. Usage note: Insert Certificate of Service (Section 1001) [now 11.5.5.1001 NMAC] on or immediately following signature page.

[1/1/94, 1/1/96; Recompiled 11/30/01]