The Official Web Site of the State of South Carolina

The South Carolina Workers' Compensation Commission approves the 2026 Maximum Weekly Compensation Rate. The full advisory may be accessed here.

Advisory Notice: The Commission Calendar has been updated for 2026. The full notice and updated calendar may be accessed here.

Advisory Notice: Beginning in December renovations to the reception area of the Commission’s Columbia office will start. This work supports our commitment to enhancing the space for all visitors. The full notice may be accessed here.

South Carolina Workers' Compensation Commission

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