Form WCSIF-1A Exhibit P Second Injury Fund Affidavit of Employer Knowledge - New Hampshire

Form WCSIF-1A Exhibit P Second Injury Fund Affidavit of Employer Knowledge - New Hampshire

What Is Form WCSIF-1A Exhibit P?

This is a legal form that was released by the New Hampshire Department of Labor - a government authority operating within New Hampshire. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is WCSIF-1A Exhibit P?
A: WCSIF-1A Exhibit P is the Affidavit of Employer Knowledge related to the Second Injury Fund in New Hampshire.

Q: What does the WCSIF-1A Exhibit P document contain?
A: The WCSIF-1A Exhibit P document contains information about the employer's knowledge of a pre-existing injury or disability that may impact a worker's compensation claim.

Q: What is the purpose of the Second Injury Fund in New Hampshire?
A: The purpose of the Second Injury Fund in New Hampshire is to provide additional compensation to workers who suffer a subsequent injury or aggravation of a pre-existing condition.

Q: What is an Affidavit of Employer Knowledge?
A: An Affidavit of Employer Knowledge is a legal document in which an employer declares their awareness of a worker's pre-existing injury or disability.

Q: When is the WCSIF-1A Exhibit P Second Injury Fund Affidavit of Employer Knowledge required?
A: The WCSIF-1A Exhibit P Second Injury Fund Affidavit of Employer Knowledge is required when there is a potential claim under the Second Injury Fund in New Hampshire.

Q: Who needs to complete the WCSIF-1A Exhibit P Second Injury Fund Affidavit of Employer Knowledge?
A: The employer or their authorized representative needs to complete the WCSIF-1A Exhibit P Second Injury Fund Affidavit of Employer Knowledge.

ADVERTISEMENT

Form Details:

  • Released on March 1, 2010;
  • The latest edition provided by the New Hampshire Department of Labor;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form WCSIF-1A Exhibit P by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Labor.

Download Form WCSIF-1A Exhibit P Second Injury Fund Affidavit of Employer Knowledge - New Hampshire

4.6 of 5 (70 votes)
  • Form WCSIF-1A Exhibit P Second Injury Fund Affidavit of Employer Knowledge - New Hampshire, Page 1
ADVERTISEMENT