New Hampshire Code of Administrative Rules
Lab - Commissioner, Department of Labor
Chapter Lab 500 - WORKERS' COMPENSATION CLAIMS
Part Lab 504 - RESPONSIBILITIES OF EMPLOYERS AND THEIR REPRESENTATIVES
Section Lab 504.01 - Availability of Forms

Universal Citation: NH Admin Rules Lab 504.01

Current through Register No. 40, October 3, 2024

(a) Employers shall familiarize themselves with the provisions of the statute and these rules.

(b) Employers shall obtain from their carriers a sufficient quantity of "Workers' Compensation Law - Notice of Compliance" which shall indicate the current carrier's name.

(c) Employers shall display the notices conspicuously for potential viewing by every employee, thereby giving notice that:

(1) The statute applies exclusively with respect to all occupational injuries and illnesses;

(2) Payment of benefits is actually secured in accordance with RSA 281-A: 5; and

(3) The carrier whose name appears on the poster is liable for payment of benefits.

(d) Employers shall keep informed regarding the address of their carrier's nearest claims office.

(e) Employers shall obtain from their carrier or have electronic access to the following forms:

(1) "Notice of Accidental Injury or Occupational Disease", form 8aWCA (7/2014), contained in Appendix II;

(2) "Employer's First Report of Injury", form 8WC (12/2014), contained in Appendix II;

(3) "Employer's Supplemental Report of Injury", form 13WCA (3/2014), contained in Appendix II; and

(4) "Wage Schedule", form 76WCA (9/2015), contained in Appendix II.

(f) Employers shall advise injured employees regarding their rights under the statute and this chapter and assist them in expediting their claims.

(g) Employers shall cooperate with all parties having a valid interest in a case in such manner as to ease its processing.

(h) Employers shall remove, upon changing carrier, all forms referencing the former carrier and replace them with forms furnished by the carrier assuming the risk.

#2264, eff 1-6-83; ss by #2935, eff 12-27-84, EXPIRED: 12-27-90

New. #5235, eff 9-27-91, EXPIRED: 9-27-97

New. #6631, INTERIM, eff 11-16-97, EXPIRED: 3-16-98

New. #6806, eff 7-18-98); ss by #8682, INTERIM, eff 7-15-06, EXPIRED: 1-11-07

New. #9019, eff 11-1-07

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