NH 8WC (-12) 2019-2026 free printable template

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LAB 500 New Hampshire Employer s First Report of Injury Submission Date WEB-8WC NHDOL - EMPLOYEE INFORMATION Employee Name First Last Gender ID Type - Employee ID Date of Birth Employee Address Telephone Hired Date Hired in NH Occupation when Injured Age Hrs per Day Wages per Hour Days per Week Average Weekly Earnings INJURY INFORMATION Date Employer Notified of Injury Injury Date / Time Location/Jobsite Business Name where accident occurred Disability Began Date Claim Type Full Wages Paid...

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What is NH 8WC (-12)?

NH 8WC (-12) is a form used in New Hampshire for reporting worker's compensation insurance coverage, specifically for employers.

Who is required to file NH 8WC (-12)?

Employers in New Hampshire who are required to maintain worker's compensation insurance coverage must file NH 8WC (-12).

How to fill out NH 8WC (-12)?

To fill out NH 8WC (-12), employers need to provide information such as their business details, insurance coverage information, and employee statistics as required by the form.

What is the purpose of NH 8WC (-12)?

The purpose of NH 8WC (-12) is to ensure compliance with state laws regarding worker's compensation insurance and to provide necessary information about employers' coverage.

What information must be reported on NH 8WC (-12)?

NH 8WC (-12) requires reporting information including the employer's name, business address, insurance provider details, policy number, and number of employees.

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