| Form # | Description | DOC | Filing Fee | |
|
16A |
Agreement for Permanent Disability / Disfigurement Compensation Please complete this form for injuries occurring after July 1, 2007. |
$50.00 if Claimant is represented |
||
|
17 |
Receipt of Compensation |
No fee |
||
|
18 |
Periodic Report |
No fee |
||
|
19 |
Status Report and Compensation Receipt |
No fee |
||
|
20 |
Statement of Earning of Injured Employee |
No fee |
||
|
21 |
Employer's Request for Hearing |
$50.00 |
||
|
27 |
Subpoena |
No fee |
||
|
30 |
Request for Commission Review |
$150.00 |
||
|
33 |
Hearing Postponed |
No fee |
||
|
38 |
Employer’s Withdrawal of Election to Adopt the |
No fee |
||
|
51 |
Employer's Answer to Request for Hearing |
No fee |
||
|
53 |
Employer's Answer to Request for Hearing, Death Case |
No fee |
||
|
54 |
Employer's Notice of Claim and/or Request for Hearing |
$50.00 |
||
|
55 |
Second Injury Fund's Answer to Employee's Request for Hearing |
No fee |
||
|
58 |
Pre-Hearing Brief |
No fee |
||
|
59 |
Appellant’s Informal Brief |
No fee |
||
|
65 |
Occupational Disease Waiver |
No fee |
||
|
70 |
Mediator Report |
No fee |
||
|
S-1 |
Notice of Third Party Action Employee Carrier |
No fee |
||
|
S-3 |
Entitlement to Right of Action |
No fee |
||
|
S-4 |
Court Certificate |
No fee |
||
| Single Commissioner Decision & Order | Doc | No fee | ||
| Appellate Panel Decision & Order | Doc | No fee | ||
| Certificate of Service | Doc |
The Official Web Site of the State of South Carolina
On May 8, 2025, the Senate confirmed the reappointment of Commissioners Beck, Campbell, and McCaskill. We congratulate each of them on their confirmation and thank them for their continued dedication and service. Read more here.
The South Carolina Workers’ Compensation Commission is pleased to welcome Commissioner John Gabriel “Gabe” Coggiola, who has been appointed to serve the unexpired term of former Commissioner Avery B. Wilkerson, Jr., from July 1, 2020, through June 30, 2026. Read more here.