New Hampshire Code of Administrative Rules
Jus - Attorney General, Department of Justice
Chapter Jus 600 - VICTIMS' COMPENSATION
Part Jus 604 - FORMS
- Section Jus 604.01 - Claim Application Form
- Section Jus 604.02 - Acknowledgment of Receipt of Claim and Request for More Information Letter
- Section Jus 604.03 - Vehicular Crimes Insurance Form
- Section Jus 604.04 - Law Enforcement Authority Verification Form
- Section Jus 604.05 - Verification of Employment and Lost Wages Form
- Section Jus 604.06 - Verification of Medical Expenses Form
- Section Jus 604.07 - Verification of Hospital Expenses Form
- Section Jus 604.08 - Mental Health Assessment and Treatment Plan
- Section Jus 604.09 - Verification of Funeral/Burial Expenses Form
- Section Jus 604.10 - Reminders and Warnings
- Section Jus 604.11 - Safety Plan Form
- Section Jus 604.12 - 10-Day Emergency Funds Compensation Form
Disclaimer: These regulations may not be the most recent version. New Hampshire may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
