Form 53-A WC Notice of Intention to Suspend Payment of Workers' Compensation Benefits - New Hampshire

Form 53-A WC Notice of Intention to Suspend Payment of Workers' Compensation Benefits - New Hampshire

What Is Form 53-A WC?

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 53-A WC?
A: Form 53-A WC is a Notice of Intention to Suspend Payment of Workers' Compensation Benefits.

Q: What is the purpose of Form 53-A WC?
A: The purpose of Form 53-A WC is to notify the employee or their representative that the employer intends to suspend payment of workers' compensation benefits.

Q: Who should file Form 53-A WC?
A: The employer or their representative should file Form 53-A WC.

Q: Is Form 53-A WC specific to New Hampshire?
A: Yes, Form 53-A WC is specific to New Hampshire.

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Form Details:

  • Released on December 1, 2000;
  • 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 53-A WC by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Labor.

Download Form 53-A WC Notice of Intention to Suspend Payment of Workers' Compensation Benefits - New Hampshire

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