| Form | Description | Doc | Fee | |
|---|---|---|---|---|
| 16 | Agreement for Permanent Disability/ Disfigurement Compensation | Doc | $50.00 if Claimant Represented | |
| 16A | Agreement for Permanent Disability/ Disfigurement Compensation (injuries after July 1, 2007) | Doc | $50.00 if Claimant Represented | |
| 17 | Receipt of Compensation | Doc | No Fee | |
| 20 | Statement of Earning of Injured Employee | Doc | No Fee | |
| 24 | Application for Lump Sum Award | Doc | $50.00 | |
| 27 | Subpoena | Doc | No Fee | |
| 30 | Request for Commission Review (Appellate Panel Review) | Doc | $150 | |
| 32 | Request to Waive Filing Fee | Doc | No Fee | |
| 50 | Employee's Notice of Claim or Hearing Request | Doc | $50/ Hearing Request only | |
| 52 | Employee's Notice of Claim or Hearing Request (Death Claim) | Doc | $50.00/ Hearing Request only | |
| 58 | Pre-Hearing Brief | Doc | No Fee | |
| 59 | Appellant's Informational Brief | Doc | No Fee | |
| 65 | Occupational Disease Waiver | Doc | No Fee | |
| S-2 | Notice of Third-Party Action (Employee) | 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 |
Advisory: Updated Richland Hearing Notice for July and August. The full advisory may be found here.
The Commission will conduct the Monthly Business Meeting Monday, August 17, 2026, at 10:30AM in Hearing Room A at the Commission offices in Columbia. Participants may access the meeting online. The agenda and zoom link may be accessed here.
The Commission welcomes Commissioner Deidra Byrd. We are honored to have her on board and thank her for her service to the Commission. Full advisory may be accessed here.