South Carolina Workers' Compensation Commission Forms on Disc

Form #
Revision Date
Pages
Title
WCC-12A
Mar-96
2
 First Report of Injury or Illness
WCC-12M
Jul-97
1
 Annual Minor Medical Report
WCC-14A
May-95
1
 Health Insurance Claim Form
WCC-15
Mar-97
1
 Temporary Compensation Report
WCC-15S
Mar-97
1
 Supplemental Report of Varying Temporary Partial Payments
WCC-16
Mar-97
1
 Agreement for Permanent Disability/Disfigurement Compensation
WCC-17
Mar-97
1
 Receipt of Compensation
WCC-18
Mar-96
1
 Periodic Report
WCC-19
Mar-96
1
 Status Report and Compensation Receipt
WCC-20
Mar-97
1
 Statement of Earnings of Injured Employee
WCC-21
Mar-97
1
 Employer's Request for Hearing
WCC-24
Sep-90
1
 Application for Lump Sum Award
WCC-27
Mar-96
1
 Subpoena
WCC-30
Mar-97
1
 Request for Commission Review
WCC-32
Sep-90
1
 Request to Waive Appeal Filing Fee
WCC-33
1
 Hearing Postponed (Columbia)
WCC-38
Jan-88
1
 Employer's Withdrawal of Election to Adopt the South Carolina Workers' Compensation Act
WCC-50
Sep-90
1
 Employee's Notice of Claim and/or Request for Hearing
WCC-51
Sep-90
1
 Employer's Answer to Request for Hearing
WCC-52
Sep-90
1
 Employee's Notice of Claim and/or Request for Hearing, Death Case
WCC-53
Sep-90
1
 Employer's Answer to Request for Hearing, Death Case
WCC-54
Jun-90
1
 Employer's Notice of Claim and/or Request for Hearing
WCC-55
Jun-90
1
 Second Injury Fund's Answer to Employer's Request for Hearing
WCC-58
Mar-96
1
 Pre-Hearing Brief
WCC-61
Mar-96
1
 Attorney Fee Petition

More South Carolina

Overview
Buy / Pricing
Support
License Agreement

Other States

Florida
Georgia
Massachusetts
North Carolina
South Carolina
© copyright 1995 - 2003 - All Rights Reserved - CyberDyne Industries, Inc.