Form RPD-41054 at a glance
What it is: Form RPD-41054 is the Workers' Compensation Fee Form of the New Mexico Taxation and Revenue Department.
Who signs: The Form RPD-41054 is not complete until the employer or employer's agent has signed and dated the report.
Every employer who is covered by the Workers' Compensation Act, whether by requirement or election, must file and pay the New Mexico Workers' Compensation Fee and file Form RPD-41054.
Employers covered by requirement are those with three or more employees, including out-of-state employers having New Mexico employees, with the following exceptions: 1. employers engaged in activities required to be licensed under the Construction Industries Licensing Act are covered regardless of the number of employees; 2. domestic servants and real estate salespersons are exempt.
Employers covered by election are employers in exempt categories who voluntarily provide workers' compensation coverage for their employees.
A filled-in Form RPD-41054 example: a bakery reports its first quarter
How to fill out Form RPD-41054, box by box
A. FEIN, B. NMBTIN and C. EAN
Line A is the FEIN (Federal Employer Identification Number). This is the number assigned to you by the Internal Revenue Service for reporting purposes.
Line B is the NMBTIN (New Mexico Business Tax Identification Number). This is the identification number assigned to you by the Taxation and Revenue Department for your New Mexico gross receipts, compensating and state withholding taxes.
Line C is the EAN (Employer Account Number). Also called unemployment insurance number, this is the identification number assigned to you by the New Mexico Department of Workforce Solutions. The EAN is mandatory only for employers who must report to the Department of Workforce Solutions.
Common mistake: Lines A-C are required, if any of these lines are left blank it will result in an improper return and the return will be rejected.
Report period and 1. Number of covered workers
Enter the month, day and year of the first and last day of the calendar quarter for which you are filing this report (for example, if filing for the first quarter of 2017, enter 01-01-17 as the first day and 03-31-17 as the last day).
A report period is a calendar quarter ending March 31, June 30, September 30 and December 31.
On Line 1, enter the number of workers (employees) to whom the Workers' Compensation Fee applies. This is the number of covered employees you employed on the last working day of the calendar quarter. If you have no covered employees, enter zero.
2. Assessment fee
Line 2, Assessment Fee: multiply line 1 by the total fee due from the Quarterly Worker's Compensation Fee Table.
Quarterly Worker's Compensation Fee Table, total fee: prior to July 1, 2025, $4.30; beginning July 1, 2025 and prior to July 1, 2028, $4.80 (employer portion $2.55, employee portion $2.25); beginning July 1, 2028 and prior to July 1, 2033, $5.06; beginning July 1, 2033, $5.30 (checked November 12, 2026).
The employee portion should be deducted from the wages of the employee, and the employer portion should be paid by the employer.
No fee is due for exempt employees.
3. Penalty and 4. Interest
Line 3, Penalty: 2% of line 2 for each month or partial month the payment is late, up to a maximum of 20% of the amount due, or a minimum of $5, whichever is greater (checked November 12, 2026).
Line 4, Interest: the daily interest rate for the quarter of line 2 is computed on a daily basis, at the rate established by the U.S. Internal Revenue Code (IRC), of the unpaid amount for each day the payment is late.
Example: the employer's fee due on line 2 is $1,000 and the payment is five days late. To calculate interest owed, multiply $1,000 by the daily interest rate for the quarter. The result is the amount of interest due for one day. Multiply that amount by five (the number of days the payment is late). The result is the interest due. Enter this amount on line 4: $1,000 x daily interest rate for the quarter x 5 = interest due (checked November 12, 2026). You are not liable for interest if the total interest is less than $1.00 (checked November 12, 2026).
The IRC rate changes quarterly. The IRC rate for each quarter is announced by the Internal Revenue Service in the last month of the previous quarter. The annual and daily interest rates for each quarter will be posted at https://www.tax.newmexico.gov/individuals/file-your-taxes-overview/penalty-interest-rates/.
5. Total due and your payment
Line 5, Total due: add lines 2, 3 and 4.
Make check or money order payable to New Mexico Taxation and Revenue Department. Indicate “WKC” and enter your NMBTIN on your check.
WKC payments should not be sent with any other payments to the Department.
Signature, Phone, Date and email address
Upon completion of this form, sign, date and enter your phone number and email address on the form.
Common mistake: Do not send photocopies of a preprinted form. Photocopies will delay the processing of this form.
More rules for Form RPD-41054
The fee is paid to the Taxation and Revenue Department. You must pay the fee quarterly and separately from other taxes.
Paying the fee does not mean that the employer has workers' compensation insurance coverage.
If your situation is different
Your corporation or company has only executive employees
Executive employees of a corporation or a limited liability company who are corporate officers or partners owning ten (10) percent or more of the corporation or company are exempt from the fee only if they have previously waived insurance coverage by filing an executive employee exemption form through their insurance agent. For further clarification, contact the Workers' Compensation Administration.
If the corporation or company has no employees other than exempt executive employees, the corporation or company may exempt itself from filing the Form RPD-41054.
Your business is not required to file
If your business is not required to file the RPD-41054: if you are no longer in business or are not required to file, you must close your account on the Taxpayer Access Point (TAP) or complete a registration update, Form ACD-31015, Business Tax Registration Application and Update Form, to cancel your account.
You must reactivate your account with the Department by completing the registration update should you become subject to the Workers' Compensation Act either by requirement or by election.
To cancel or change an EAN, you must contact the New Mexico Department of Workforce Solutions.
Common questions about Form RPD-41054
Who signs it?
The Form RPD-41054 is not complete until the employer or employer's agent has signed and dated the report.
Is there a deadline?
The Workers' Compensation Fee is due on or before the last day of the month following the close of the report period.
Where do I file it?
Mail the bottom portion of this form with payment to New Mexico Taxation and Revenue Department, P.O. Box 2527, Santa Fe, NM 87504-2527. Retain the top portion for your records. Send the bottom portion only. For assistance call (505) 827-0832. For any questions call the call center 1-866-285-2996.
Where to get help with Form RPD-41054
Questions regarding the Workers' Compensation Fee should be directed to the Taxation and Revenue Department in Santa Fe, your local district office, or the Workers' Compensation Administration in Albuquerque.
The Workers' Compensation Administration does not process the assessment fee. The Taxation and Revenue Department processes the filing of Form RPD-41054 and the fee.
The Workers' Compensation Administration has published Employer Guidebook and Guia Para Empleadores that provides detailed information about the Workers' Compensation Fee and other matters related to workers' compensation. The guidebook is available online at the Workers' Compensation Administration website, https://workerscomp.nm.gov/.
Sources
[1] Form RPD-41054 (Rev. 07/01/2025), Workers' Compensation Fee Form, New Mexico Taxation and Revenue Department (the Official source link on this page).
