This is a legal form that was released by the New Hampshire Department of Health and Human Services - Bureau of Family Assistance - a government authority operating within New Hampshire. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 770?
A: Form 770 is the Reimbursement Agreement and Acknowledgment form.
Q: Who needs to fill out Form 770?
A: Both the employee and employer need to fill out Form 770.
Q: What is the purpose of Form 770?
A: Form 770 is used to establish an agreement for reimbursement between an employee and employer.
Q: Is Form 770 specific to New Hampshire?
A: Yes, Form 770 is specific to the state of New Hampshire.
Form Details:
Download a printable version of BFA Form 770 by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Health and Human Services - Bureau of Family Assistance.