The Official Web Site of the State of South Carolina

Advisory Notice: The Administrative Procedures Act will be in effect beginning 11/1/2025. The full notice may be accessed here.

 

Advisory Notice: On October 1, 2025 the Commission will implement metal detection & screening at the Commission’s Offices. The full notice may be accessed here.

Claimant Forms

FormDescriptionPDFDocFee
16Agreement for Permanent Disability/ Disfigurement CompensationPDFDoc$50.00 if Claimant Represented
16AAgreement for Permanent Disability/ Disfigurement Compensation (injuries after July 1, 2007)PDFDoc$50.00 if Claimant Represented
17Receipt of CompensationPDFDocNo Fee
20Statement of Earning of Injured EmployeePDFDocNo Fee
24Application for Lump Sum AwardPDFDoc$50.00
27SubpoenaPDFDocNo Fee
30Request for Commission Review (Appellate Panel Review)PDFDoc$150
32Request to Waive Filing FeePDFDocNo Fee
50Employee's Notice of Claim or Hearing RequestPDFDoc$50/ Hearing Request only
52Employee's Notice of Claim or Hearing Request (Death Claim)PDFDoc$50.00/ Hearing Request only
58Pre-Hearing BriefPDFDocNo Fee
59Appellant's Informational BriefPDFDocNo Fee
65Occupational Disease WaiverPDFDocNo Fee
S-2Notice of Third-Party Action (Employee)PDFDocNo Fee
 Single Commissioner Decision & Order Template DocNo Fee
 Appellate Panel Decision & Order Template DocNo Fee
 Certificate of Service DocNo Fee