Coverage Questionnaires

The process:

• Coverage Questionnaires are mailed via the US mail to the employer 7 to 10 days prior of termination of coverage.
• Employers can access the Coverage Questionnaire online using the company FEIN and the date which appeared on the Coverage Questionnaire letter received via US mail.
• A company representative completes the form online and submits it online. When received by NHDOL, an email is sent back to the company representative confirming receipt.
• Once the Coverage Questionaire has been processed, an email is sent to the submitter indicating it has been processed.

The Coverage Questionnaire form is downloaded into our document management system.

Wage Claims

Any employee who is due unpaid wages may file a wage claim within 18 months from when the wages were due. If you are due unpaid wages from your employer/former employer and you elect to file a wage claim, you must complete a wage claim form.

The process:

• An employee goes online and submits a wage claim form. An email goes immediately back to the submitter letting them know it has been received and is under review.
• The wage claim form is reviewed by a Wage & Hour Inspector.
• If rejected or not approved, an email goes back to the submitter with the reasons and the wage claim form. The claim is closed and the submitter can not resubmit an updated version of the claim.
• If partially rejected, an email goes back to the submitter with reasons why the claim was not accepted with a link to web wage claim form entry screen for resubmission.
• If approved an email goes back to the submitter indicating the wage claim has been accepted, this does not ensure that the claimant will receive any unpaid wages.The wage claim form is downloaded into our electronic document management system. The wage claim process begins by contacting the employer on the claim.

Safety Summary Form

Every company doing business in NH with 10 or more employees is required to file a safety summary form biennially with the NHDOL. This is a 10-question form that is reviewed by our safety inspectors to ensure these companies are thinking about safety issues and have the proper mechanisms in place to deal with them. We implemented this web application less than a year ago and have already received over 900 forms through the web site. We are very confident that as word gets out this number will increase.

The process:

• An employer goes online and submits an application to pay other than weekly. An email goes immediately back to the submitter letting them know it has been received and to not change their payment method until they receive approval.
• The submitted application is reviewed by a Wage & Hour inspector and a check is done to determine whether the business is in good standing with all workers comp, sfaety and wage & hour laws.
• If rejected or not approved an email goes back to the submitter with the results and the application form and status is downloaded into our electronic document management system.
• There is no method for modifying the existing application and resubmitting in this process, a new application must be submitted.
• If approved an email goes back to the submitter showing the approval and the application form and status is downloaded into our electronic document management system.

Mandatory Posters

• NH State laws and federal laws require businesses to post certain posters in the work place. We have a page on our web site that provides access to all these posters, both state and federal, that a business can download.

Approved Leasing Companies

• This page provides a business, looking to use the services of a leasing company, a listing of valid licensed leasing companies in the State of NH.

Email Alerts/News

• This page allows anyone to subscribe to email news send out by the NHDOL. The user can selectively pick the categories of news he/she wishes to received, such as Workers Comp, Safety, Wage & Hours, Boiler, Elevator, etc…

Whistleblower Protection Complaint Form

• The Whistleblower Protection Complaint Form is filled out by employees who wish to file a complaint of the Whistleblower Protection Act against there employer. The act protects the employee's terms, conditions and privileges from employer threats and discrimination. By submitting this form, an employee may report to NH Dept. of Labor any violations of the NH Whistleblower Protection Act.

The process:

• An employee goes online and submits a whistleblower complaint form. An email goes immediately back to the submitter letting them know it has been received and is under review.
• The whistleblower complaint form is reviewed by a Wage & Hour inspector.
• If rejected or not approved an email goes back to the submitter with the reasons and the whistleblower complaint form. The claim is closed and the submitter can not resubmit an updated version of the claim.
• If partially rejected, an email goes back to the submitter with reasons why the whistleblower complaint was not accepted with a link to web whistleblower complaint form entry screen for resubmission.
• If approved an email goes back to the submitter indicating the whistleblower complaint has been accepted. The acceptance only begins the Whistleblower Complaint process. It does not signify the validity of the complaint. The whistleblower complaint form is downloaded into our electronic document management system.