Government Agencies in New Hampshire

Forms & Documents Contact Info & Office Locations Questions & Answers

Forms & Documents

Browse all Department of Health and Human Services forms

1 - 20 of 158 documents

Form Title	Tags
Acknowledgement	Presumptive Eligibility, Child Development Bureau
Adult Family Care	Bureau Of Health Facilities Administration
Adverse Event Report	Bureau Of Health Facilities Administration
Alternate W-9	Child Development Bureau
Annual Renewal of Radioactive Material License	Radiologic Health
Application	Rural Health And Primary Care
Application for Assistance	Division Of Family Assistance
Application for Child Care Center	Child Care Licensing Unit
Application for Family Child Care Program	Child Care Licensing Unit
Application for Health Coverage and Help Paying Costs	Division Of Family Assistance
Application for Initial Lead Licensing or Certification	Child Development Bureau
"Application for Radiation or MRI Machine Registration	Radiologic Health
"Application for Registration as a Provider of Radiation or MRI Machine-Related Services	Radiologic Health
Application Instructions and Cover Letter	Child Care Licensing Unit
Application Process	Presumptive Eligibility, Child Development Bureau
Arboviral Illness Human Case	Bureau Of Infectious Disease Control
Attestation and Verification of Food Stamp (FS) Household Disaster	Division Of Family Assistance
Authorization to Administer Medication	Child Care Licensing Unit
Authorization to Allow Child to Leave Supervision	Child Care Licensing Unit
Authorization to Use Electronic Monitoring	Child Care Licensing Unit

Contact Information & Office Locations

All 17 contact points

Administrative Appeals Unit

Address:
Office of Operations Support
105 Pleasant Street
Concord, NH 03301

Phone numbers:

(603) 271-4292
(800) 852-3345 (Toll Free)
(800) 735-2964 (TDD Access)

Fax numbers:

(603) 271-8422

Emails:

DHHS.AAU@dhhs.nh.gov

Berlin District Office & NH Employment Program

Address:
650 Main Street
Suite 200
Berlin, NH 03570

Phone numbers:

(603) 752-7800
(800) 972-6111
(800) 735-2964 (TDD Access)

Fax numbers:

(603) 752-2230

Bureau of Behavioral Health

Address:
Division of Community Based Care Services
105 Pleasant Street
Concord, NH 03301

Phone numbers:

(603) 271-5000
(800) 852-3345 (Toll Free)
(603) 271-5052 (Peer Support Liaison) ,(603) 271-5007(Bureau Administrator) ,(603) 271-5066(Financial Manager) , (603) 271-9290(Media Inquiries Only) ,(603) 271-5138(OCFA Director) ,(603) 271-5058(Legal Services)

Fax numbers:

(603) 271-5058
(603) 271-5040

Emails:

BMHS@dhhs.nh.gov

Hours of operation:

Crisis Intervention Services are available 24 hours a day, 7 days a week to any person in the state of New Hampshire who may be experiencing psychiatric distress.

Child Care Licensing Unit

Address:
Office of Operations Support
129 Pleasant Street
Concord, NH 03301

Phone numbers:

(603) 271-9025
(800) 852-3345 (Toll Free)
(800) 735-2964 (TDD Access)

Fax numbers:

(603) 271-4782

Emails:

CCLUoffice@dhhs.nh.gov

Claremont District Office & NH Employment Program

Address:
17 Water Street
Suite 301
Claremont, NH 03743

Phone numbers:

(603) 542-9544
(800) 982-1001
(800) 735-2964 (TDD Access)

Fax numbers:

(603) 542-2367

Concord District Office & NH Employment Program

Address:
40 Terrill Park Drive
Concord, NH 03301

Phone numbers:

(603) 271-6200
(800) 322-9191
(800) 735-2964 (TDD Access)

Fax numbers:

(603) 271-6451

Conway District Office & NH Employment Program

Address:
71 Hobbs Street
Conway, NH 03818

Phone numbers:

(603) 447-3841
(800) 552-4628
(800) 735-2964 (TDD Access)

Fax numbers:

(603) 447-1988

Dairy Farms & Dairy Plants

Address:
Division of Public Health Services
29 Hazen Drive
Concord, NH 03301

Phone numbers:

(603) 271-4673
(800) 852-3345 (Toll Free)
(800) 735-2964 (TDD Access)
(603) 271-5300 (24 Hours)(After Hours Emergency)

Fax numbers:

(603) 271-4859

Division for Children, Youth and Families

Address:
97 Pleasant Street
Concord, NH 03301

Phone numbers:

(603) 271-4451
(800) 852-3345 (Toll Free)
(800) 735-2964 (TDD Access)

Fax numbers:

(603) 271-4729

Headquarters

Address:
129 Pleasant Street
Concord, NH 03301-3852

Phone numbers:

(800) 852-3345

Keene District Office & NH Employment Program

Address:
111 Key Road
Keene, NH 03431

Phone numbers:

(603) 357-3510
(800) 624-9700
(800) 735-2964 (TDD Access)

Fax numbers:

(603) 352-2598

Laconia District Office & NH Employment Program

Address:
65 Beacon Street West
Laconia, NH 03246

Phone numbers:

(603) 524-4485
(800) 322-2121
(800) 735-2964 (TDD Access)

Fax numbers:

(603) 528-4105

Littleton District Office & NH Employment Program

Address:
80 North Littleton Road
Littleton, NH 03561

Phone numbers:

(603) 444-6786
(800) 552-8959
(800) 735-2964 (TDD Access)

Fax numbers:

(603) 444-0348

Manchester District Office & NH Employment Program

Address:
1050 Perimeter Rd
Suite 501
Manchester, NH 03103

Phone numbers:

(603) 668-2330
(800) 852-7493
(800) 735-2964 (TDD Access)

Fax numbers:

603-668-5442

Rochester District Office & NH Employment Program

Address:
150 Wakefield Street
Suite 22
Rochester, NH 03867

Phone numbers:

(603) 332-9120
(800) 862-5300
(800) 735-2964 (TDD Access)

Fax numbers:

(603) 335-5993

Seacoast District Office & NH Employment Program

Address:
19 Rye Street
Portsmouth, NH 03801

Phone numbers:

(603) 433-8300
(800) 821-0326
(800) 735-2964 (TDD Access)

Fax numbers:

(603) 431-0731

Southern District Office & NH Employment Program

Address:
26 Whipple Street
Nashua, NH 03060

Phone numbers:

(603) 883-7726
(800) 852-0632
(800) 735-2964 (TDD Access)

Fax numbers:

(603) 883-2064

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