Workers Compensation

State of New Hampshire

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

Forms & Documents

Browse all Workers Compensation government forms

21 - 40 of 50 forms

Form Title Topics
Memo of Payment of Disability Compensation
Memo of Permanent Impairment Award
NH Vocational Rehabilitation Provider Certification Form
NH Workers' Compensation Medical Forms
NH Workers' Compensation Task Analysis
Notice of Accidental Injury or Occupational Disease
Notice of Contract Between Third Party Administrator and Self Insurer
Outstanding Liabilities
Parent Company Agreement
Parent Company Agreement
Rehabilitation Closure Form
Rehabilitation Referral Form
Release and Settlement of Claim
Report of Extended Disability
Request for Job Modification Plan Approval
Request for Reimbursement from the Second Injury Fund
Restricted Employee Leasing Application
Schedule of Reimbursable Payments
Second Injury Fund Affidavit of Employer Knowledge
Second Injury Fund Certification by Physician

Have Questions About This Agency?
Ask An Expert For Help:

Questions and comments are moderated. Minimum of 10 characters.

All questions and comments are moderated and publicly viewable. Please do not post private or sensitive information such as names, addresses, phone numbers, emails, confidential financial and legal details.

Login or sign up to submit questions