| 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 |
The Official Web Site of the State of South Carolina
At the Business Meeting on March 13, 2023 the SC Workers' Compensation Commission approved changes to the Medical Services Provider Manual. The full advisory may be accessed here.
Save the Date! South Carolina Workers' Compensation Commission Claims Administration Workshop will be held at the Columbia Convention Center on May 4, 2023. The full advisory may be accessed here.