N.M. Admin. Code § 13.7.2.8
The following form shall be used to give the notice of rights required by Section 59A-16-14 NMSA 1978:
FREEDOM TO CHOOSE
INSURANCE COMPANY AND INSURANCE PROFESSIONAL
The undersigned person hereby acknowledges that I have been informed by (individual's name) on behalf of (name of lender) that, although I may be required by the seller or lender to purchase insurance to cover the property that is being used as security for the loan, I may purchase that insurance from the insurance company or agent of my choice, and cannot be required by the seller or lender, as a condition of the sale or loan, to purchase or renew any policy of insurance covering the property through any particular insurance company, agent, solicitor, or broker. I hereby acknowledge receipt of a true copy of this notice on the _____day of_____________, _____.
__________________________________
(Signature of Purchaser or Borrower)
N.M. Admin. Code § 13.7.2.8