Help with a State Agency
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
https://www.vaccines.nh.gov
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.
Thank you
All Required Fields * must be completed
First Name
Last Name
Address
City / State / Zip
City
--None--
Acworth
Albany
Alexandria
Allenstown
Alstead
Alton
Amherst
Andover
Antrim
Ashland
Atkinson
Atkinson and Gilmanton Academy Grant
Auburn
Barnstead
Barrington
Bartlett
Bath
Bean’s Grant
Bean’s Purchase
Bedford
Belmont
Bennington
Benton
Berlin
Bethlehem
Boscawen
Bow
Bradford
Brentwood
Bridgewater Bristol
Brookfield
Brookline
Cambridge
Campton
Canaan
Candia
Canterbury
Carroll
Center Harbor
Chandler’s Purchase
Charlestown
Chatham
Chester
Chesterfield
Chichester
Claremont
Clarksville
Colebrook
Columbia
Concord
Conway
Cornish
Crawford’s Purchase
Croydon
Cutt’s Grant
Dalton
Danbury
Danville
Deerfield
Deering
Derry
Dix’s Grant
Dixville
Dorchester
Dover
Dublin
Dummer
Dunbarton
Durham
East Kingston
Easton
Eaton
Effingham
Ellsworth
Enfield
Epping
Epsom
Errol
Erving’s Location
Exeter
Farmington
Fitzwilliam
Francestown
Franconia
Franklin
Freedom
Fremont
Gilford
Gilmanton
Gilsum
Goffstown
Gorham
Goshen
Grafton
Grantham
Green’s Grant
Greenfield
Greenland
Greenville
Groton
Hadley’s Purchase
Hale’s Location
Hampstead
Hampton
Hampton Falls
Hancock
Hanover
Harrisville
Hart's Location
Haverhill
Hebron
Henniker
Hill
Hillsborough
Hinsdale
Holderness
Hollis
Hooksett
Hopkinton
Hudson
Jackson
Jaffrey
Jefferson
Keene
Kensington
Kilkenny
Kingston
Laconia
Lancaster
Landaff
Langdon
Lebanon
Lee
Lempster
Lincoln
Lisbon
Litchfield
Littleton
Livermore
Londonderry
Loudon
Low and Burbank’s Grant
Lyman
Lyme
Lyndeborough
Madbury
Madison
Manchester
Marlborough
Marlow
Martin’s Location
Mason
Meredith
Merrimack
Middleton
Milan
Milford
Millsfield
Milton
Monroe
Mont Vernon
Moultonborough
Nashua
Nelson
New Boston
New Castle
New Durham
New Hampton
New Ipswich
New London
Newbury
Newfields
Newington
Newmarket
Newport
Newton
North Hampton
Northfield
Northumberland
Northwood
Nottingham
Odell
Orange
Orford
Ossipee
Pelham
Pembroke
Peterborough
Piermont
Pinkham’s Grant
Pittsburg
Pittsfield
Plainfield
Plaistow
Plymouth
Portsmouth
Randolph
Raymond
Richmond
Rindge
Rochester
Rollinsford
Roxbury
Rumney
Rye
Salem
Salisbury
Sanbornton
Sandown
Sandwich
Sargent’s Purchase
Seabrook
Second College Grant
Sharon
Shelburne
Somersworth
South Hampton
Springfield
Stark
Stewartstown
Stoddard
Strafford
Stratford
Stratham
Success
Sugar Hill
Sullivan
Sunapee
Surry
Sutton
Swanzey
Tamworth
Temple
Thompson and Meserve’s Purchase
Thornton
Tilton
Troy
Tuftonboro
Unity
Wakefield
Walpole
Warner
Warren
Washington
Waterville Valley
Weare
Webster
Wentworth
Wentworth’s Location
Westmoreland
Whitefield
Wilmot
Wilton
Winchester
Windham
Windsor
Wolfeboro
Woodstock
State
Zip
County
--None--
Belknap
Carroll
Cheshire
Coos
Grafton
Hillsborough
Merrimack
Rockingham
Strafford
Sullivan
Email Address
Phone Number/Extension
-
organizerPhoneExt
Alternate Phone Number/Extension
-
organizerAltPhoneExt
Agency Involved
--None--
Administrative Services
Agriculture
Banking
Business & Economic Affairs
Business Finance Authority
Commission on Disability
Community Action Agency
Community College System of NH
Corrections
DHHS - Adult & Elderly Services
DHHS - Bureau of Developmental Services
DHHS - Bureau of Drug & Alcohol Services
DHHS - Child Support Services
DHHS - DCYF
DHHS - Food Stamps
DHHS - Medicaid
DHHS - NH Hospital
DHHS - Public Health
Division of Personnel
DMV
Education
Employment Security
Energy & Planning
Environmental Services
Federal
Fish & Game
GOFERR
Health & Human Services
Homeland Security & Emergency Management
Human Rights Commission
Information Technology
Insurance
Justice/Attorney General
Labor
Liquor Commission
Local/Town
Lottery Commission
Municipal Bond Bank
Natural & Cultural Resources
New Hampshire National Guard
NH Housing Finance Authority
NH Retirement System
NH Veterans Home
Office of Professional Licensure & Certification
Office of Strategic Initiatives
Office of Veterans Services
Pease Development Authority
Public Utilities Commission
Revenue Administration
Safety
Secretary of State
State Police
Transportation
Treasury
Nature of Problem
(*Please provide a detailed description of the problem you are experiencing and what assistance you have already sought out prior to contacting the Governor's office.)
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