New Hampshire Claims Forms
| Document | What It Is | When To Use/File |
| Claim Kit | Cove Risk’s exclusive guide for employers and injured workers including forms for proper filing of claims and other necessary information pursuant to New Hampshire Workers’ Compensation Law. | Whenever an injury occurs (contains the most commonly used claim forms). |
| Form 8WC | First report of injury. Secure Form: You may fill out and submit online. For instructions click here |
ASAP after the injury occurs. |
| Form 76 WCA | Wage Schedule. | Employer must forward to Cove Risk no later than employee’s fifteenth day of disability relating from industrial accident. |
| Form 13 WCA | Employer’s Supplemental Report of Injury. | File as soon as possible after date of knowledge of an occupational injury or disease but no later than ten days thereafter. Submit also upon employee’s return to work. |