New Hampshire Notice of Work-Related Injury and Claim for Worker's Compensation

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Some state worker's compensation acts also provide that a formal claim for compensation be made, either to the employer, the compensation board, or to the state commission board with notice to the employer that the claim is being made. This claim or notice of claim is different from the notice of injury and is governed by a different, and sometimes longer, statute of limitations. This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.

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If you are hurt at work, workers' compensation (or "workers' comp") pays your medical bills. It also pays 60% of your lost wages after you miss more than three days of work. Workers' compensation is a type of insurance that all employers MUST provide. It doesn't matter whose fault the injury was.

Losing your job due to an injury is unfair and unreasonable, especially in cases where the injury occurred on the clock. While you could have legal recourse for wrongful firing, you also have the right to pursue legal action based on your underlying injury.

Sole-proprietors, partners and self-employed persons are not required to carry workers' compensation on themselves but may elect to be covered, per RSA 281-A:3.

Can my employer fire me? It depends on your case and circumstances. There are no job security laws in New Hampshire, but the employer may be required to reinstate you if you are released by your treating physician within 18 months of the date of injury.

New Hampshire Workers' Compensation Statute of Limitations A worker who's been injured on the job has two years from the date they got hurt to notify you. If an illness develops over time, they have two years to notify you from the date they found out the illness is work-related.

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New Hampshire Notice of Work-Related Injury and Claim for Worker's Compensation