An employee who wishes to file a complaint under the Whistleblowers’ Protection Act must first complete
Whistleblowers' Complaint Form (online form)
Whistleblowers' Complaint Form (download) , including filling out only the appropriate sections, either I, II, or III on the bottom half of the form and mail to:

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

If you have any questions or need assistance in completing this form, please contact the Department of Labor at 1-800-272-4353.

RSA 275-E Whistleblowers' Protection Act

New Hampshire Administrative Rules Chapter LAB 900 Whistleblowers' Protection Act

Whistleblowers' Mandatory Poster

Whistleblowers' Complaint Form

A Guide to the Whistleblowers' and Wage Claim Process