New Hampshire Code of Administrative Rules
Emp - Commissioner, Department of Employment Security
Chapter Emp 300 - EMPLOYER REQUIREMENTS
Part Emp 303 - RECORDS AND REPORTS
Section Emp 303.08 - Notice of Claim and Verification Request Form

(a) Whenever required by RSA 282-A:45, a "Notice of Claim and Verification Request" form,formerly known as "Request To Employer for Separation Information", shall be sent either by e-mail notice pursuant to Emp 405.03 or by mail by the certifying officer to the employer or employing unit for whom the claimant last performed services.

(b) The certifying officer shall provide the following information on the "Notice of Claimand Verification Request" form:

(c) The employer or employing unit shall notify the department, electronically if the employer has registered pursuant to Emp 405.04 and wishes to use this method, otherwise by hand-delivery, mail, fax or telephone at the address, fax or telephone numbers designated by the department on the form if:

(d) The employer or employing unit notifying the department pursuant to (c) above shall assure receipt by the department of the information within 7 calendar days from the date of mailing, which is noted on the form as the issue date,by the department of the "Notice of Claim and Verification Request" form.

(e) If the employer or employing unit's response in the "Notice of Claim and Verification Request" form states a cause of claimant's unemployment that would potentially disqualify the claimant, the department shall contact the employer or employing unit to obtain information regarding the separation from employment as follows:

(f) Failure of the employer or employing unit to provide the information required by the department in Emp 303.08(c) or (e) (2) within the periods of time set forth in Emp 303.08(d) and (e) (2)shall be deemed an irrevocable waiver of its right to be heard before the determination is made. Benefits charged to its account as a result of the determination shall remain so charged even though the claimant is held not to be entitled to unemployment compensation by reason of a later decision.

(g) The department shall comply with the requirements of RSA 282-A:45, I (c) in the "Notice of Claim and Verification Request" form.

(h) The employer or employing unit shall indicate whether they wish to waive and release all rights to appeal prior to the determination on this claim under RSA 282-A: 42-67 except for the right to request a re-determination under RSA 282-A: 46.

(i) The employer shall certify that the information furnished on the form is true and correct.