New Hampshire Department of Labor Forms

This Form is used for submitting complaints related to public employees in the state of New Hampshire.

This Form is used for reporting inspections of elevators in the state of New Hampshire.

This document establishes a partnership agreement for a vocational cooperative education program in New Hampshire. It outlines the responsibilities and expectations of all parties involved in the program.

This document is used for obtaining parental permission to employ youth aged 16 or 17 in the state of New Hampshire.

This form is used for filing a memo of denial for workers' compensation benefits in New Hampshire.

This Form is used for calculating the settlement of a third-party claim in the state of New Hampshire. It helps in determining the compensation amount for injuries or damages caused by someone else.

This form is used for applying to use the Second Injury Fund in New Hampshire.

This Form is used for closing vocational rehabilitation cases in New Hampshire. It documents the final status and outcomes of the rehabilitation process.

This form is used for applying for vocational rehabilitation provider certification in the state of New Hampshire.

This form is used for gathering employee information for the Second Injury Fund in New Hampshire. It helps in assessing eligibility and facilitating fund distribution for employees with pre-existing injuries.

This form is used for requesting approval of a job modification plan in the state of New Hampshire. It is required for employers who need to make modifications to an employee's job duties or conditions due to a disability or medical condition.

This Form is used for submitting the annual financial statement for businesses in the state of New Hampshire.

This form is used for employers in New Hampshire to report the first injury that has occurred in the workplace.

This document is a checklist for businesses in New Hampshire that are considering employee leasing. It provides a list of important factors to consider and steps to follow when engaging in employee leasing.

This Form is used for reporting outstanding liabilities in the state of New Hampshire. It is used to provide information about any debts or obligations that are still owed by an individual or business.

This form is used for notifying the contract between a third-party administrator and a self-insurer in New Hampshire.

This form is used for applying for a Certificate of Authority in New Hampshire.

This form is used for completing a biographical affidavit in New Hampshire. It is required for certain applications and legal purposes.

This document is for applying for a Boiler Inspector License in the state of New Hampshire.

This document is used for reporting elevator accidents in the state of New Hampshire.

This document is used by employers in New Hampshire to formally request permission for employing a minor under the child labor laws.

This Form is used for requesting an extension for a boiler in New Hampshire.

This document is a guide for decommissioning escalators in New Hampshire. It provides instructions and regulations for safely removing and disposing of escalators that are no longer in use.

This application is used for pre-screening potential business partners for school-to-work programs in New Hampshire.

This document outlines the terms and conditions of the Cooperative Education Program in New Hampshire. It establishes the agreement between the participating parties and ensures a smooth operation of the program.

This form is used for employees in New Hampshire who are requesting a waiver to have a day of rest.

This form is used for authorizing the deduction of accidental overpayment from your wages in the state of New Hampshire.

This Form is used for authorizing a voluntary payroll deduction in the state of New Hampshire.

This form is used for students who are participating in approved building construction programs in New Hampshire.

This document is a voluntary waiver that allows nurses and assistants in New Hampshire to work mandatory overtime despite a prohibition under RSA 326-B, RSA 275:67, and RSA 275:68.

This document outlines the rate of pay for new hires in the state of New Hampshire. It provides information on the minimum wage and any other relevant regulations regarding compensation for new employees in the state.

This form is used for requesting payment of wages in New Hampshire that are not on a weekly or biweekly basis.

This document is a complaint form to be used by the public to report issues with public employees in the state of New Hampshire.

This document is for obtaining a youth employment certificate in New Hampshire. It is required for youths under a certain age to work in the state.