SC Workers' Compensation Commission
Showing 1–16 of 17 results
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Agreement for Permanent Disability/Disfigurement Compensation
SCWC16 $69.00 -

Attorney Fee Petition
SCWC61 $69.00 -

Employee’s Notice of Claim and/or Request for Hearing
SCWC50 $89.00 -

Employee’s Notice of Claim and/or Request for Hearing, Death Case
SCWC52 $69.00 -

Employer’s Answer to Request for Hearing
SCWC51 $69.00 -

Employer’s Answer to Request for Hearing, Death Case
SCWC53 $69.00 -

Employer’s Request for Hearing
SCWC21 $69.00 -

First Report of Injury or Illness
SCWC12A $89.00 -

Periodic Report
SCWC18 $69.00 -

Pre-Hearing Brief
SCWC58 $69.00 -

Receipt of Compensation
SCWC17 $69.00 -

Request for Commission Review
SCWC30 $69.00 -

Statement of Earnings of Injured Employee (form calculates)
SCWC20 $129.00 -

Status Report and Compensation Report (form calculates)
SCWC19 $89.00 -

Subpoena
SCWC27 $69.00 -

Supplemental Report of Varying Temporary Partial Payments
SCWC15S $69.00