Form WCSIF-1C Second Injury Fund Employee Information Sheet - New Hampshire

Form WCSIF-1C Second Injury Fund Employee Information Sheet - New Hampshire

What Is Form WCSIF-1C?

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-1C?A: WCSIF-1C is the Second Injury Fund Employee Information Sheet specific to New Hampshire.

Q: What is the Second Injury Fund?A: The Second Injury Fund is a program in New Hampshire that provides compensation to employees who have a preexisting disability and then suffer a work-related injury.

Q: What is the purpose of WCSIF-1C?A: The WCSIF-1C form is used to collect employee information for the Second Injury Fund in New Hampshire.

Q: Who needs to complete WCSIF-1C?A: Employees who have a preexisting disability and suffer a work-related injury in New Hampshire may need to complete this form.

Q: What information is required on WCSIF-1C?A: The form typically requires employees to provide their personal information, details about their preexisting disability, and information about their work-related injury.

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Form Details:

  • Released on January 1, 2018;
  • 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 printable version of Form WCSIF-1C by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Labor.

Download Form WCSIF-1C Second Injury Fund Employee Information Sheet - New Hampshire

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  • Form WCSIF-1C Second Injury Fund Employee Information Sheet - New Hampshire, Page 1
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