Form 9 WCA Memo of Payment of Disability Compensation - New Hampshire

Form 9 WCA Memo of Payment of Disability Compensation - New Hampshire

What Is Form 9 WCA?

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 Form 9 WCA Memo of Payment of Disability Compensation?
A: Form 9 WCA Memo of Payment of Disability Compensation is a document used in New Hampshire to provide a record of disability compensation payments made to an injured worker.

Q: Who uses Form 9 WCA Memo of Payment of Disability Compensation?
A: Form 9 WCA Memo of Payment of Disability Compensation is used by employers or insurance carriers to report payments of disability compensation to the New Hampshire Division of Workers' Compensation.

Q: When is Form 9 WCA Memo of Payment of Disability Compensation used?
A: Form 9 WCA Memo of Payment of Disability Compensation is used when an injured worker is receiving disability compensation payments and those payments need to be reported to the Division of Workers' Compensation.

Q: What information is included in Form 9 WCA Memo of Payment of Disability Compensation?
A: Form 9 WCA Memo of Payment of Disability Compensation includes the injured worker's name, Social Security number, date of injury, and details of the disability compensation payments made.

Q: Is Form 9 WCA Memo of Payment of Disability Compensation required?
A: Yes, employers or insurance carriers are required to submit Form 9 WCA Memo of Payment of Disability Compensation to report disability compensation payments in New Hampshire.

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Form Details:

  • Released on June 1, 1994;
  • 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 9 WCA by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Labor.

Download Form 9 WCA Memo of Payment of Disability Compensation - New Hampshire

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  • Form 9 WCA Memo of Payment of Disability Compensation - New Hampshire, Page 1
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