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The Official Web Site of the State of South Carolina
PO Box 17151333 Main Street, Suite 500Columbia, SC 29202-1715803-737-5700

Sample Letters

These letters do not represent a document that is required by the South Carolina Workers' Compensation Commission under South Carolina Regulation or Statute. However, should the provider make future request of the South Carolina Workers' Compensation Commission to intervene in a disputed billing matter, record of a correspondence similar in nature to the sample letters below shall be provided.

2nd Notice for Payment following receipt of partial payment
2nd Notice fo Payment when no payment has been received within 30 days following issuance of initial invoice