New Hampshire Department of Administrative Services Forms

This form is used for applying for leave in the state of New Hampshire.

This Form is used for submitting a payment voucher and requesting reimbursement within the state of New Hampshire.

This Form is used for filing a BET-80 tax return in the state of New Hampshire.

This Form is used for employees in New Hampshire who are transitioning genders and need to inform their employer.

This document is used for waiving liability and assuming risk for parents participating in the Infants in the Workplace Program in New Hampshire.

This document is a Care Provider Agreement specifically designed for the Infants in the Workplace Program in New Hampshire. It outlines the terms and conditions between the employer and the care provider for the care of infants in the workplace.

This document is for parents who are interested in participating in the Infants in the Workplace Program in New Hampshire. It outlines the application process and requirements for parents to bring their infants to work with them.

This checklist is used to review the Infants in the Workplace Program in New Hampshire. It ensures that all necessary guidelines and requirements are met for infants in the workplace.

This Form is used for notifying a court that you are appearing in a legal case in the state of New Hampshire.

This form is used to notify the court of your intention to appeal a decision in the state of New Hampshire. It initiates the appellate process and informs the court that you are challenging the ruling made in your case.

This form is used for caregivers to waive liability and assume risk for participating in the Infants in the Workplace Program in New Hampshire.

This document provides instructions for filling out the Position Classification Questionnaire in the state of New Hampshire.

This Form is used for the Community Health Education Reimbursement Program (CHERP) in New Hampshire. It helps individuals to request reimbursement for expenses related to health education and community outreach activities.

This form is used for designating beneficiaries for Voya Life Insurance policies in the state of New Hampshire.

This claim form is specifically for Voya Life Insurance employees in New Hampshire who have experienced accidental dismemberment and are seeking compensation. It is used to initiate the claims process and gather necessary information.

This document is used for collecting medical information from a physician about a patient's chronic illness. It is specific to New Hampshire.

This document is for members of association plans in New Hampshire who want to claim the Voya Life Insurance Accelerated Life Benefit for Chronic Illness.

This form is used for filing a disability claim to request a waiver of premium for Voya Life Insurance policyholders who are employees in New Hampshire.

This document is for claimants of Voya Life Insurance in New Hampshire to provide a statement as proof of death.

This form is used for filing dental insurance claims with Northeast Delta Dental in the state of New Hampshire. It allows policyholders to request reimbursement for dental services received.

This document is used for recording the training history of non-certified applicators in the state of New Hampshire.

This Form is used for enrolling in and making changes to medical and dental benefits for legislators and executive councilors in New Hampshire.

This form is used for declaring the authenticity and truthfulness of a proposal in the state of New Hampshire.

This document type is used to express interest in a particular opportunity or position in the state of New Hampshire. It can be used for job applications, business proposals, or other situations where you want to express your interest and qualifications.

This Form is used for enrolling or making changes to life insurance plans for employees, spouses, and children in New Hampshire.