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Form WCSIF-2 Exhibit S Request for Reimbursement From the Second Injury Fund - New Hampshire
What Is Form WCSIF-2 Exhibit S?
This is a legal form that was released by the New Hampshire Department of Labor - a government authority operating within New Hampshire. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is WCSIF-2?A: WCSIF-2 is a form used to request reimbursement from the Second Injury Fund in New Hampshire.
Q: What is the Second Injury Fund?A: The Second Injury Fund is a fund in New Hampshire that provides benefits to workers who have suffered multiple work-related injuries.
Q: Who can use WCSIF-2?A: WCSIF-2 can be used by individuals who have suffered multiple work-related injuries and are seeking reimbursement from the Second Injury Fund.
Q: What information is required in WCSIF-2?A: WCSIF-2 requires information such as the claimant's personal details, details of the injuries, medical treatment information, and supporting documentation.
Q: Is there a deadline for submitting WCSIF-2?A: Yes, there is a deadline for submitting WCSIF-2. It must be filed within one year from the date of the last payment made by the employer or the workers' compensation carrier.
Q: What happens after submitting WCSIF-2?A: After submitting WCSIF-2, the Second Injury Fund will review the request for reimbursement and determine if the claimant is eligible for benefits.
Q: How long does it take to receive a decision on reimbursement?A: The time frame for receiving a decision on reimbursement varies, but it generally takes a few months for the Second Injury Fund to review and process the request.
Form Details:
- Released on May 1, 2013;
- The latest edition provided by the New Hampshire Department of Labor;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form WCSIF-2 Exhibit S by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the New Hampshire Department of Labor.
