The Official Web Site of the State of South Carolina

The Commission's e-file / e-submission functions are experiencing issues with sending confirmation e-mails. The Commission is aware of the issue and is working toward a resolution. An update will be posted when the issue has been resolved. If there are any additional questions or concerns, please contact SCWCC IT. 

 The Commission has issued an advisory notice regarding changes to a procedure code in the 2024 MSPM. The full advisory may be accessed here. 

Save the Date! The Commission will host a Claims Administration Nuts and Bolts Workshop on June 28, 2024. The full advisory may be accessed here. 

Claimant Forms

Form Description PDF Doc Fee
16 Agreement for Permanent Disability/ Disfigurement Compensation PDF Doc $50.00 if Claimant Represented
16A

Agreement for Permanent Disability/ Disfigurement Compensation (injuries after July 1, 2007)

 PDF Doc $50.00 if Claimant Represented
17 Receipt of Compensation PDF Doc No Fee
20 Statement of Earning of Injured Employee PDF Doc No Fee
24 Application for Lump Sum Award PDF Doc $50.00
27 Subpoena PDF Doc No Fee
30 Request for Commission Review (Appellate Panel Review) PDF Doc $150
32 Request to Waive Filing Fee PDF Doc No Fee
50 Employee's Notice of Claim or Hearing Request PDF Doc $50/ Hearing Request only
52 Employee's Notice of Claim or Hearing Request (Death Claim) PDF Doc $50.00/ Hearing Request only
58 Pre-Hearing Brief PDF Doc No Fee
59 Appellant's Informational Brief PDF Doc No Fee
65 Occupational Disease Waiver PDF Doc No Fee
S-2 Notice of Third-Party Action (Employee) PDF Doc No Fee
  Single Commissioner Decision & Order Template   Doc No Fee
  Appellate Panel Decision & Order Template   Doc No Fee
  Certificate of Service   Doc No Fee