The Official Web Site of the State of South Carolina

In response to stakeholder comments, the Commission promulgated an amendment to S.C. Code Ann. Regs. 67-610 that amends the existing process by which litigants before the Commission amend pleadings and add or remove parties to a claim. The amended regulation has been approved by the legislature and is effective May 26, 2023. The full advisory may be accessed here.

The Commission will conduct the monthly business meeting June 5, 2023 at 10:30am in Hearing Room A at the Commission offices in Columbia. Participants may access the meeting online. The agenda and zoom link 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: 803-737-5706
Fax: 803-737-1258
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