The Official Web Site of the State of South Carolina

Commission offices will be closed on Friday, May 9, 2025, in observance of a state holiday and will reopen at 8:30am on Monday, May 12, 2025.

The Commission has approved changes to the 2025 Medical Services Provider Manual. The full advisory and a summary of the changes can be accessed here. 

 

The South Carolina Workers’ Compensation Commission is holding its annual Claims Administration Made Easy (C.A.M.E) workshop on May 8, 2025.

Where: Cooperative Conference Center, 169 Laurelhurst Avenue, Columbia, SC, 29210

Register Here

 

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: 803-737-5412
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