Thank you for contacting our office for assistance with a state agency.

If you have questions on how to schedule a COVID19 vaccine, or need additional information on the phase that you or a loved one fall into for the vaccination schedule, please do not submit your information via this form.
Please visit the state’s vaccine website at to schedule your vaccine starting on Friday January 22, 2021.
For any additional questions or information on the COVID19 vaccine, please contact the 2-1-1 resource center, by dialing 2-1-1 from your New Hampshire telephone exchange.
For assistance with any other New Hampshire State Agency, please continue by submitting your information on the form below.
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