The Official Web Site of the State of South Carolina
A template for an "Amended Form 50" for use when amending pleadings or adding or removing a parties is now available for download on the Commission's Forms page. The full advisory may be accessed here. 
The Commission has amended Forms 21, 30, 50, 51, 52, 53, and 58. The updated forms are currently available for download on the Commission website. Prior versions of the forms will be accepted until November 1, 2023. The full advisory may be accessed here. 
Regulation 67-610 has been amended effective May 26, 2023.  The text of the regulation may be accessed here. 
 

Sample Letters

Sample Letters

These letters do not represent a document that is required by the South Carolina Workers' Compensation Commission under South Carolina Regulation or Statute. However, should the provider make future request of the South Carolina Workers' Compensation Commission to intervene in a disputed billing matter, record of a correspondence similar in nature to the sample letters below shall be provided.

2nd Notice for Payment following receipt of partial payment (PDF)

2nd Notice for Payment when no payment has been received within 30 days following issuance of initial invoice (PDF)