The New Hampshire Request for Reimbursement from the Second Injury Fund is a program designed to help workers who have been injured on the job and are unable to return to work due to a pre-existing condition or disability. The Second Injury Fund helps to cover the costs associated with an employee's medical treatment, lost wages, and other expenses related to their injury. There are two types of New Hampshire Request for Reimbursement from the Second Injury Fund: 1. Pre-Existing Injury or Disability: This type of reimbursement is for employees who have a pre-existing injury or disability that was aggravated or worsened by a work-related injury. 2. Total or Partial Disability: This type of reimbursement is for employees who have become totally or partially disabled as a result of a work-related injury. In order to qualify for reimbursement, the employee must submit a request to the Second Injury Fund. This request must include all relevant medical documentation as well as proof of disability or lost wages. The Second Injury Fund then reviews the request and determines if the employee is eligible for reimbursement.
New Hampshire Request for Reimbursement from the Second Injury Fund
Description
How to fill out New Hampshire Request For Reimbursement From The Second Injury Fund?
US Legal Forms is the most easy and cost-effective way to locate suitable legal templates. It’s the most extensive online library of business and individual legal documentation drafted and checked by lawyers. Here, you can find printable and fillable templates that comply with national and local laws - just like your New Hampshire Request for Reimbursement from the Second Injury Fund.
Obtaining your template takes only a few simple steps. Users that already have an account with a valid subscription only need to log in to the web service and download the document on their device. Afterwards, they can find it in their profile in the My Forms tab.
And here’s how you can get a properly drafted New Hampshire Request for Reimbursement from the Second Injury Fund if you are using US Legal Forms for the first time:
- Read the form description or preview the document to ensure you’ve found the one meeting your needs, or locate another one utilizing the search tab above.
- Click Buy now when you’re certain about its compatibility with all the requirements, and judge the subscription plan you prefer most.
- Register for an account with our service, sign in, and purchase your subscription using PayPal or you credit card.
- Select the preferred file format for your New Hampshire Request for Reimbursement from the Second Injury Fund and download it on your device with the appropriate button.
Once you save a template, you can reaccess it anytime - simply find it in your profile, re-download it for printing and manual fill-out or import it to an online editor to fill it out and sign more efficiently.
Take advantage of US Legal Forms, your trustworthy assistant in obtaining the required formal paperwork. Try it out!
Form popularity
FAQ
Workers' Compensation for New Hampshire Workers. If you are hurt at work, workers' compensation (or "workers' comp") pays your medical bills. It also pays 60% of your lost wages after you miss more than three days of work. Workers' compensation is a type of insurance that all employers MUST provide.
What Does the Second Injury Fund Do? The workers' comp Second Injury Fund assumes liability for compensation benefits attributable to prior injuries or illnesses. This happens when a worker subsequently becomes totally disabled because of a workplace injury.
The Second Injury Fund pays compensation on behalf of an employer to an employee who has already suffered a prior disabling injury, and now sustains a subsequent injury, and the combination of the two injuries creates a greater disability than the second injury would have created by itself.
New Hampshire's Second Injury Fund gives employers an opportunity to limit their compensation costs in the event that an impaired employee sustains a workers' compensation injury which leaves him/her more disabled than the same injury would leave a non-impaired worker.