Workers Compensation

State of New Hampshire

Official Website: https://www.nh.gov/labor/workers-comp/

Forms & Documents

Browse all Workers Compensation government forms

1 - 20 of 50 forms

Form Title Topics
Actuarial Opinion Summary Sheet
Annual Financial Statement
Application for Certificate of Authority
Application for Reimbursement of Paid Adjusted Total Disability
Application for Reimbursement of Paid Combined Earnings
Application for Second Injury Fund
Authorization for Compensation for Death
Authorization to Permit Witness at Medical Examination
Biographical Affidavit
Certificate of Insurance
Employee Leasing Application
Employee Leasing Application Required Attachments
Employee's Statement of Employment Status
Employer's Supplemental Report of Injury
Endorsement
General Purpose Rider
Guarantee Proposal
Individual Written Rehabilitation Plan
Lump Sum Settlement Forms
Memo of Denial of Workers' Compensation Benefits

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