New Hampshire Code of Administrative Rules
Jus - Attorney General, Department of Justice
Chapter Jus 600 - VICTIMS' COMPENSATION
Part Jus 604 - FORMS
Section Jus 604.05 - Verification of Employment and Lost Wages Form
Universal Citation: NH Admin Rules Jus 604.05
Current through Register No. 40, October 3, 2024
(a) If a claimant seeks compensation for lost wages, the victims' assistance unit shall request that the victim's employer complete and submit a "Verification of Employment and Lost Wages Form," revised 8/23/2019.
(b) In addition to the form, the victim's employer shall provide the victims' assistance unit with payroll information for the month preceding the date of the crime and one month after the crime.
#4864, eff 7-13-90; ss by #6052 eff 7-1-95, EXPIRED: 7-1-03
New. #9553, eff 9-25-09
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