The Official Web Site of the State of South Carolina

The Commission is currently recruiting for a Self-Insurance Director. Interested applicants may view the job posting here and apply online here.

On May 8, 2025, the Senate confirmed the reappointment of Commissioners Beck, Campbell, and McCaskill. We congratulate each of them on their confirmation and thank them for their continued dedication and service. Read more here.

The South Carolina Workers’ Compensation Commission is pleased to welcome Commissioner John Gabriel “Gabe” Coggiola, who has been appointed to serve the unexpired term of former Commissioner Avery B. Wilkerson, Jr., from July 1, 2020, through June 30, 2026. Read more here.

South Carolina Workers' Compensation Commission

Self-Insurance Forms

The South Carolina Workers’ Compensation Commission offers the following forms applicable to self-insurance procedures.

If you require assistance, please contact the Self-Insurance Division

Self-Insurance Division
Telephone: 803-737-5412
self-insurance@wcc.sc.gov

6	Application to Create a Self-Insurance Fund	PDF	Doc	$250.00
6A	Application for Membership in a Self-Insured Fund	PDF		$25.00
7	Application to Individually Self-Insure	PDF	Doc	$250.00 plus $100.00 for each subsidiary
7A	Corporate Guaranty	PDF	Doc	No fee
8	SC Workers’ Compensation Commission Bond Required of Employer Carrying His Own Risk	PDF	Doc	No fee
8B	Irrevocable Letter of Credit	PDF	Doc	No fee
10	South Carolina Self-Insurance Tax Form	PDF		No fee
11	Fund Quarterly Financial Report	PDF	Doc	No fee