The Official Web Site of the State of South Carolina
The Commission announces a staff retirement and thanks Ms. Barbara Cheeseboro for her service. The full advisory may be accessed here. 
The Commission announces a staff promotion and congratulates Ms. Mackenzie Stites on her achievement. The full advisory may be accessed here. 
 Regulation 67-1602 has been amended to establish electronic payment systems as the default method of payment for temporary disability and reimbursement for expenses. The full advisory and text of the regulation may be accessed here. 
The Commission has issued an advisory notice regarding changes to a procedure code in the 2024 MSPM. The full advisory 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