N.H. Admin. Code § Lab 504.01 - Availability of Forms
(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.
Notes
#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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