| 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
The Commission offices will be closed on Monday, January 19, 2026, in observance of the state holiday.
Renovations will begin at the Commission offices on Tuesday, January 20, 2026. Please contact the Commission if accessibility accommodations are needed. Thank you for your patience while we improve our workspace.
Advisory Notice: 2026 Maximum Weekly Compensation Rate. The full advisory may be accessed here.
Advisory Notice: 2026 Medical Services Provider Manual. The full advisory may be accessed here.
Advisory Notice: New Policy Regarding Electronic Devices in Courtrooms and Adjacent Areas. The full advisory may be accessed here.