| 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
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.