New Hampshire Workers Comp Forms

Find New Hampshire workers compensation forms and coverage guides.

Here is a list of all the forms, applications, and manuals related to Workers' Compensation Insurance in the state of New Hampshire. We strive to keep this up to date.

As with all information we provide, please verify the accuracy of these forms with the New Hampshire Department of Labor.

If you have any questions about where to find or how to fill out one of these or any other form, please feel free to call one of our Workers' Compensation Experts at 888-611-7467.

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New Hampshire Workers Compensation Insurance Forms

NH Acord 130 Workers' Compensation Application.

The standard Acord 130 application form for workers comp coverage in New Hampshire.

New Hampshire First Report of Injury Form.

NH First Report of Injury Form. Employers should complete this form and send to their insurance company each time an injury occurs.

New Hampshire Application for Exclusion of Officers and Stockholders

Owners and Officers of corporations should complete this form to exclude themselves from a work comp policy.

New Hampshire Application for Exemption for Workers' Compensation Insurance

Complete this form if you are a sole-proprietor, partnership with no employees or an sole officer of a corporation and would like to be exempt from coverage.

Employer's Guide to Workers' Compensation

Information about workers compensation in New-Hampshire for employers.

Workers' Compensation Forms

IA collection of workers compensation forms and instruction to assist in proper filing of forms.

State Resources for New Hampshire

NH Department of Labor

Workers' Compensation Division
95 Pleasant Street
Concord, NH 03301
603-271-2042
www.nh.gov/

National Council on Compensation Insurance (NCCI)

901 Peninsula Corporate Circle
Boca Raton, FL 33487-1362
800-622-4123
www.ncci.com/

Workers compensation insurance is required by law for New Hampshire employers.

New Hampshire forms and applications such as owners inclusion or exclusion forms are sometimes updated by the state. Contact us if you need help or can't find the workers compensation form your need for New Hampshire.

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Visit NCCI for more resources and information about workers' compensation class codes. Visit United States Department of Labor for more information about government agencies managing workers compensation insurance rates.
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