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State of Nh Revenue Dept
 
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Nursing Facility Quality Assessment Forms
 
 

All quarterly due dates:

  • Period: October 1 to December 31 due January 10
  • Period: January 1 to March 31 due April 10
  • Period: April 1 to June 30 due July 10
  • Period: July 1 to September 30 due October 10

Questions regarding the calculation of your Net Patient Services Revenue should be directed to NH Health & Human Services, Bureau of Elderly & Adult Services, Rate Setting & Audit Unit at (603) 271-9210.

Questions regarding the filing of completed returns or ACH Debit forms may be directed to NH Department of Revenue Customer Service at (603) 230-5920.

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© NH Department of Revenue Administration ~ 109 Pleasant Street ~ Concord, New Hampshire 03301
Phone: 603-230-5000 ~ Fax: 603-230-5945 ~ TDD Access Relay NH: 1-800-735-2964
Municipal Services ~ Phone: 603-230-5090 ~ Fax: 603-230-5947
Property Appraisal ~ Phone: 603-230-5950 ~ Fax: 603-230-5943
Collections ~ Phone: 603-230-5900 ~ Fax: 603-230-5946
Hearings Bureau ~ Phone 603-230-5002 ~ Fax 603-230-5948
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Copyright © State of New Hampshire, 2007