Advisory Notice- Commission Approves 2027 Calendar. The full advisory may be accessed here. 

Employer Forms

Form #DescriptionPDFDOCFiling Fee
16A

Agreement for Permanent Disability / Disfigurement Compensation

Please complete this form for injuries occurring after July 1, 2007.

PDFDoc$50.00 if Claimant is represented
17Receipt of CompensationPDFDocNo fee
18Periodic ReportPDFDocNo fee
19Status Report and Compensation ReceiptPDFDocNo fee
20Statement of Earning of Injured EmployeePDFDocNo fee
21Employer's Request for HearingPDFDoc$50.00
27SubpoenaPDFDocNo fee
30Request for Commission ReviewPDFDoc$150.00
33Hearing PostponedPDFDocNo fee
38Employer’s Withdrawal of Election to Adopt the
South Carolina Workers’ Compensation Act		PDFDocNo fee
51Employer's Answer to Request for HearingPDFDocNo fee
53Employer's Answer to Request for Hearing, Death CasePDFDocNo fee
54Employer's Notice of Claim and/or Request for HearingPDFDoc$50.00
55Second Injury Fund's Answer to Employee's Request for HearingPDFDocNo fee
58Pre-Hearing BriefPDFDocNo fee
59Appellant’s Informal BriefPDFDocNo fee
65Occupational Disease WaiverPDFDocNo fee
70Mediator ReportPDFDocNo fee
S-1Notice of Third Party Action Employee CarrierPDFDocNo fee
S-3Entitlement to Right of ActionPDFDocNo fee
S-4Court CertificatePDFDocNo fee
 Single Commissioner Decision & Order DocNo fee
 Appellate Panel Decision & Order DocNo fee
 Certificate of Service Doc