Form 2692 Health and Safety Self-certification - New Hampshire

Form 2692 Health and Safety Self-certification - New Hampshire

What Is Form 2692?

This is a legal form that was released by the New Hampshire Department of Health and Human Services - 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 2692?
A: Form 2692 is the Health and Safety Self-certification form in New Hampshire.

Q: What is the purpose of Form 2692?
A: The purpose of Form 2692 is to certify that a workplace has implemented and is maintaining the required health and safety measures.

Q: Who needs to fill out Form 2692?
A: Employers in New Hampshire are required to fill out Form 2692.

Q: When is Form 2692 due?
A: Form 2692 is generally due within 30 days of a new business opening or a change in ownership.

Q: Are there any penalties for not submitting Form 2692?
A: Failure to submit Form 2692 or providing false information may result in penalties or fines.

Q: Do I need to keep a copy of Form 2692?
A: Yes, employers should keep a copy of Form 2692 on file for their records.

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Form Details:

  • Released on May 1, 2020;
  • The latest edition provided by the New Hampshire Department of Health and Human Services;
  • 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 2692 by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Health and Human Services.

Download Form 2692 Health and Safety Self-certification - New Hampshire

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