| 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 |
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.