The Official Web Site of the State of South Carolina

ADVISORY NOTICE

The Commission will conduct the monthly Business Meeting Monday, February 10, 2025 at 10:30AM in Hearing Room A at the Commission offices in Columbia. Participants may access the meeting online. The agenda and zoom link may be accessed here.

At the Business Meeting on January 13, 2025, the Commission received a summary of proposed changes to the Medical Services Provider Manual. A public hearing has been scheduled for February 10, 2025 to receive public comment on the proposed changes. The full advisory and the summary may be accessed here. 

 

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