In order to file a claim for unpaid wages, fringe benefits, and commissions this form must be completed in order to initiate the process as stipulated under RSA 275:51 V. Please sign the bottom of the form. Make three copies and mail two (2) copies back to the DOL at the following address: (Note: Keep the third copy for your records.)

NH Department of Labor
P.O. Box 2076
Concord, NH 03302-2076

An employee who wishes to file a complaint under the Whistleblowers' Protection Act must first complete the following "Whistleblowers' Complaint Form", including filling out only the appropriate sections, either I, II, or III on the bottom half of the form.

A quick reference to the Inspection Division's hearing process for both employers' and employees' use.

A quick reference to the Inspection Division's hearing process for employers' use.

In order to pay employees differently than the law (RSA 275:43 and New Hampshire Administrative Rules Chapter LAB 803.02 Payment of Wages and Requirements of Employees allows, complete this request form and send it to the address at the bottom of the form.

This form may be filled out by the parent or legal guardian and given to any employer for written consent for a minor to work.

To secure a special permit to employ a person at a sub-minimum hourly wage rate whose earning capacity is impaired by a physical or mental disability, this form must be completed and submitted to the Wage and Hour Administrator.