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Biennial Report This document requires the free Adobe Acrobat Reader available by clicking on this icon.
Apprenticeships
  Fact Sheet
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  Application for Childhood Education
  Tuition Assistance This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Apprentice - Change in Status This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Apprenticeship Agreement Form This document requires the free Adobe Acrobat Reader available by clicking on this icon.
Administrative Rules
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  Related Instruction
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Boilers & Elevators
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  Boiler Inspector's License
  Application This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Application for License for
  Inspector, Mechanic,
  Accessibility Lift Mechanic This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Elevator Accident Report Form This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Elevator Violation Checklist
  for Cable This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Elevator Violation Checklist
  for Hydraulic This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Elevators, Dumbwaiters,
  Escalators and Accessibility
  Lifts Placed Out of Service
  or Decommissioned This document requires the free Adobe Acrobat Reader available by clicking on this icon.
Administrative Rules
Boilers & Pressure Vessels
Elevators & Lifts
Employee Leasing
FAQ
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  Required Attachments This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Authorization Release Form This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Employee Leasing Initial
  Application This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Employee Leasing Renewal
  Application This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Restricted Employee Leasing
  Application This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Employee Leasing Checklist This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Parent Company Agreement This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Surety Bond This document requires the free Adobe Acrobat Reader available by clicking on this icon.
Administrative Rules
List of Approved Leasing Companies
Safety & Training
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  Safety Summary Form This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  A Guide for Developing a
  Written Safety Program This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Self Inspection Checklist This document requires the free Adobe Acrobat Reader available by clicking on this icon.
Administrative Rules
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Safety Summary Form
School-to-Work
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  Application for Co-op Form This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Memo of Understanding This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Application for Approval
  of Out-of-School Building
  Construction Projects This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Guidelines for Approval of
  Building Trades Activities This document requires the free Adobe Acrobat Reader available by clicking on this icon.
Administrative Rules
Pre-Approved Work Sites
School-to-Work Application
Wage & Hour
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  Wage Claim Form This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Application for Employment
  of Disabled Person This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Request for Payment of
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  A Guide to the Wage
  Adjustment and Civil Penalty
  Hearing Processes This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  A Guide to the Whistleblowers'
  and Wage Claim Process This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Whistleblowers' Complaint Form This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Mandatory Posters
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Whistleblowers' Protection Act
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Youth Employment
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  Employers' Request for
  Child Labor This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Parental Consent Form This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Approval Form for Non-Paid
  Work-Based Activities This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Pre-Screening form This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  State & Federal Child
  Labor Information Guide This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Application for Co-op Form This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Application for Approval for
  Out-of-School Building
  Construction Projects This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Guideline for Approval of
  Building Trade Activities This document requires the free Adobe Acrobat Reader available by clicking on this icon.
Administrative Rules
Hazardous Occupations
Child Labor Information Guide
Workers' Compensation
FAQ
Forms
  Employer's First Report of
  Occupational Injury or Disease
  Form - 8WC This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Notice of Accidental Injury Or   Occupational Disease - 8aWCA
  (online)
  Notice of Accidental Injury Or
  Occupational Disease (8aWCA) This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Memo of Payment of Disability
  Compensation (9 WCA) This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Wage Schedule (76 WCA 1-94) This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Supplemental Wage Schedule
  (76 WCA1) This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Employer's Supplemental
  Report of Injury (13 WCA 7-89) This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Memo of Denial of
  Workers' Compensation
  Benefits (9 WCA-1 9-02) This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  NH Workers' Compensation
  Medical Form (75 WCA-1 6-94) This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Memo of Permanent Impairment
  Award (10 WCA 10/98) This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Report of Extended
  Disability (74 WCA 7-89) This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  NH Workers' Compensation
  Task Analysis This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Lump Sum Settlement Forms
  (15 WCA (10-99) This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Release and Settlement of
  Claim (WC-3PR-1 7-89) This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Authorization for Compensation for
  Death This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Self-Insurance Application This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Self-Insurance Questionnaire This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Self-Insurance Surety Bond This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Certificate of Insurance This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Endorsement This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Annual Financial Statement This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  General Purpose Rider This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Guarantee Proposal This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Outstanding Liabilities This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Parent Company Agreement This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Securities Deposit Agreement This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Application for
  Second Injury Fund This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Request for Reimbursement
  from the Second Injury Fund This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Schedule of
  Reimbursable Payments This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Second Injury Fund Affidavit
  of Employer Knowledge This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Second Injury Fund
  Certification by Physician This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Application for Reimbursement of
  Paid Adjusted Total Disability This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Application for Reimbursement
  of Paid Combined Earnings This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Security Deposit Agreement for
  Third Party Administrator This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Application for Certificate
  of Authority This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Notice of Contract Between Third
  Party Administrator
  and Self Insurer This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Third Party Administration Bond This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Biographical Affidavit This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Request for Job Modification
  Plan Approval This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  NH Vocational Rehabilitation
  Provider Certificate Form This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Individual Written Rehabilitation
  Plan (IWRP) This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Vocational Rehabilitation
  Training Agreement This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Rehabilitation Closure Form This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Rehabilitation Referral Form This document requires the free Adobe Acrobat Reader available by clicking on this icon.
  Notice to Suspend Payment of
  Workers' Compensation Benefits This document requires the free Adobe Acrobat Reader available by clicking on this icon.
First Report of Injury
Employee Information
  Weekly Benefits
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Employer Information
Hearings
Cost Containment
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Self Insurance
Timeframe for Filing a Claim
EDI
Workers' Compensation Advisory Council This document requires the free Adobe Acrobat Reader available by clicking on this icon.
Site Help
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Mandatory Posters
Protective Legislation Law This document requires the free Adobe Acrobat Reader available by clicking on this icon.
New Hampshire Minimum Wage Law This document requires the free Adobe Acrobat Reader available by clicking on this icon.
The Whistleblowers' Protection Act This document requires the free Adobe Acrobat Reader available by clicking on this icon.
The Workers' Right to Know This document requires the free Adobe Acrobat Reader available by clicking on this icon.
Unemployment Notice This document requires the free Adobe Acrobat Reader available by clicking on this icon.
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