New Hampshire Expense Reimbursement Form for an Employee

State:
Multi-State
Control #:
US-134062BG
Format:
Word; 
Rich Text
Instant download

Description

This form is a sample of an expense reimbursement form for an employee.

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FAQ

How much does workers' compensation insurance cost in New Hampshire? Estimated employer rates for workers' compensation in New Hampshire are $0.90 per $100 in covered payroll.

The Emergency Paid Sick Leave Act (EPSLA), implements a new federal paid sick leave law, whereby all employers, including government employers would need to provide up to 80 hours (or the equivalent of two weeks for part-time employees) of paid sick leave to employees for Coronavirus/COVID-19 issues.

Reimbursement rates cover all the costs related to driving for business. They are calculated to include gas, insurance, plus wear and tear on the vehicle. Employers who pay mileage reimbursement should not pay for gas and oil changes, as they're covered under the overall cost.

Effective January 1, 2021, the standard mileage reimbursement rate for transportation expenses as set by the Internal Revenue Service will be 56 cents per mile. This changes the mileage reimbursement rate payable under RSA 281-A: 23 Medical, Hospital & Remedial Care.

58.5 cents per mile driven for business use, up 2.5 cents from the rate for 2021, 18 cents per mile driven for medical, or moving purposes for qualified active-duty members of the Armed Forces, up 2 cents from the rate for 2021 and.

On the federal level, there is no requirement for employers to reimburse employees for mileage when using personal vehicles for company purposes. However, all employers are federally required to reimburse employees for any work-related expense to a point.

RSA 281-A:21-a, Time Limitations for Filing Claim states that compensation for disability, rehabilitation, medical benefits, shall be barred unless a claim is filed within 3 years." The statute requires notice by two years and a claim for benefits be made within three years or the claim is time barred.

New Hampshire Workers' Compensation & First Report of InjuryFax it to: 603-271-6149.Mail it to: Workers' Compensation Division, NH Department of Labor, 95 Pleasant St., Concord, NH 03301.Email it to: WorkersComp@dol.nh.gov.

Fill out an accident report (form 8aWCA) right away. You can get this form from the employer. Make sure to keep a copy for yourself. You have up to two years to report workplace injuries and illnesses, but it is best to report right away.

New Hampshire is an at-will state, which means employers can generally fire their employees at any time and for any reasonwith some important exceptions. Note that the state's at-will laws do not apply to union employees or those working on employment contracts.

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New Hampshire Expense Reimbursement Form for an Employee