Form 14 WCA Authorization for Compensation for Death - New Hampshire

Form 14 WCA Authorization for Compensation for Death - New Hampshire

What Is Form 14 WCA?

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 Form 14 WCA?A: Form 14 WCA is the Authorization for Compensation for Death form in New Hampshire.

Q: What is the purpose of Form 14 WCA?A: The purpose of Form 14 WCA is to authorize compensation for death in New Hampshire.

Q: Who can use Form 14 WCA?A: Form 14 WCA can be used by the dependents or representatives of a deceased employee in New Hampshire.

Q: What information is required in Form 14 WCA?A: Form 14 WCA requires information about the deceased employee, their dependents, and the circumstances of their death.

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Form Details:

  • Released on October 1, 2001;
  • 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 14 WCA by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Labor.

Download Form 14 WCA Authorization for Compensation for Death - New Hampshire

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  • Form 14 WCA Authorization for Compensation for Death - New Hampshire, Page 1
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