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Form WCSI-1A Workers' Compensation Self-insurance Application - Group - New Hampshire
What Is Form WCSI-1A?
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 the Form WCSI-1A?
A: The Form WCSI-1A is the Workers' Compensation Self-insurance Application - Group for New Hampshire.
Q: Who needs to file the Form WCSI-1A?
A: Employers who want to self-insure for workers' compensation in New Hampshire as a group need to file the Form WCSI-1A.
Q: What is self-insurance for workers' compensation?
A: Self-insurance for workers' compensation is when an employer chooses to provide coverage for work-related injuries and illnesses to their employees without purchasing insurance from a commercial carrier.
Q: How can an employer apply for self-insurance in New Hampshire?
A: Employers can apply for self-insurance in New Hampshire by filing the Form WCSI-1A.
Q: What information is required on the Form WCSI-1A?
A: The Form WCSI-1A requires information about the company, its financials, and other details related to workers' compensation coverage.
Form Details:
- Released on February 1, 2016;
- 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 WCSI-1A by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Labor.
Download Form WCSI-1A Workers' Compensation Self-insurance Application - Group - New Hampshire
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