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New Hampshire Workers' Compensation & First Report of Injury Fax it to: 603-271-6149. Mail it to: Workers' Compensation Division, NH Department of Labor, 95 Pleasant St., Concord, NH 03301. Email it to: WorkersComp@dol.nh.gov.
Related Searches
The forms listed below are the official New Hampshire State Forms. Your insurance carrier is responsible for supplying the Workers' Compensation forms. The following insurance carrier forms are only available to licensed and approved Workers' Compensation carriers. Carriers need to contact the NH Department of ... Get the latest workers' compensation insurance forms for New Hampshire. Access common workers' comp forms New Hampshire, applications, guides and helpful ... View on Westlaw or start a FREE TRIAL today, Legal Forms on Westlaw. Free New Hampshire Workers Comp Forms ; Employees Statement Of Employment Status, April 21, 2011 ; Employers Supplemental Report Of Injury, April 21, 2011. The forms listed below must be sent to the NHADA Workers' Compensation Trust, preferably faxed to 224-8126. The Supplemental Report of Injury, 13WCA, ... Workers' comp can help cover treatment and reimburse them for prescription costs. Coverage requirements in New Hampshire say every employer must have workers' ... Convert To Pdf Legal New Hampshire Workers' Compensation Forms with a comprehensive online service helping thousands of users process their paperwork ... Workers' Compensation is an insurance program that pays medical and disability benefits for work-related injuries and diseases. Under the State of New Hampshire ... Click on the state or territory listed on the right to find the name and address of the appropriate state workers' compensation official.
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