New Hampshire Workers' Comp Claims Kit

How to report a workplace injury

Phone: (844) 581-0828

For life-threatening medical emergencies, call 911

Preferred method: Submit the claim information online here

Another option to report a claim is via e-mail within 24 hours of the incident (or as soon as possible):

E-mail: claims@pieinsurance.com

In the e-mail, include the following information:

• Name of business
• Policy Number
• Reporting party’s contact information (name, phone, e-mail)
• The name, phone and e-mail address of injured employee
• Date of incident
• Location of incident (address and/or city, state)
• Description of incident

Employer’s First Report of Injury - RSA 281-A:53 requires employers to report any injury sustained by an employee in the course of employment as soon as possible, but no later than 5 days after the employer learns of the occurrence of such an injury.  

Posting Notices

Prominently display the notice where each employee is likely to see the notice on a regular basis.

New Hampshire posting notice

New Hampshire right to know poster

New Hampshire employee/contractor poster

New Hampshire first report of injury form

Reference Material

New Hampshire Workers’ Compensation Website

Employer Information

Injured Employee Benefits

Workplace Injuries – FAQs

What is the waiting period for lost wages in New Hampshire:

No payment is due for the first 3 days of disability unless the disability lasts for 14 days or longer. The 3 day waiting period will be paid retroactively if lost time reaches or exceeds the 14 day retroactive period.