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Form WCSIF-1C Second Injury Fund Employee Information Sheet - New Hampshire
What Is Form WCSIF-1C?
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-1C?
A: WCSIF-1C is the Second Injury Fund Employee Information Sheet specific to New Hampshire.
Q: What is the Second Injury Fund?
A: The Second Injury Fund is a program in New Hampshire that provides compensation to employees who have a preexisting disability and then suffer a work-related injury.
Q: What is the purpose of WCSIF-1C?
A: The WCSIF-1C form is used to collect employee information for the Second Injury Fund in New Hampshire.
Q: Who needs to complete WCSIF-1C?
A: Employees who have a preexisting disability and suffer a work-related injury in New Hampshire may need to complete this form.
Q: What information is required on WCSIF-1C?
A: The form typically requires employees to provide their personal information, details about their preexisting disability, and information about their work-related injury.
Form Details:
- Released on January 1, 2018;
- 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 printable version of Form WCSIF-1C by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Labor.
