Get Onlineform50

Filling out the Onlineform50 online is an important step for individuals seeking workers' compensation benefits in South Carolina. This guide will provide clear and supportive instructions to help users complete the form accurately and efficiently.

Follow the steps to successfully complete the Onlineform50.

1. Click the ‘Get Form’ button to obtain the Onlineform50, which you will need to complete. This action will open the form in an online editor for you to fill out.
2. Begin by entering the claimant's name in the designated field near the top of the form. Ensure that the information provided is legible and accurately reflects the claimant's identity.
3. Fill in the carrier file number and carrier code number as required. If this information is unknown, consult relevant documents or contact the insurance provider.
4. Enter the employer's federal employer identification number (FEIN) in the appropriate section. This number is necessary to identify the employer legally.
5. Complete the social security number (SSN) field, ensuring accuracy, as this will be used to identify the claimant.
6. Provide the employer's name and address, along with the city's name and state to ensure that the claim is correctly associated.
7. Input necessary contact information, including home and work phone numbers, to enable communication regarding the claim.
8. If applicable, fill in the preparer's name and contact details. It's important to use up-to-date information for effective follow-up regarding the claim.
9. Check the box for the kind of benefits being claimed at Lines 6, 7, 8, and 9. You must also select the appropriate reasons for the claim by specifying if it was due to an injury, illness, or repetitive trauma.
10. In the section regarding the injury details, provide a comprehensive description of the injury including the part of the body affected and the date of the incident.
11. Confirm that both the claimant and employer were subject to the South Carolina Workers’ Compensation Act at the time of injury.
12. Indicate the employment relationship existed at the time of the injury and provide any relevant details regarding the accident cautioning on missing information.
13. Describe how the accident occurred with as much detail as possible to support the claim.
14. Check the applicable box for what assistance the claimant needs due to the injury, and outline any temporary total disability benefits requested.
15. If applicable, provide information related to permanent disabilities and any ongoing medical treatment needed as a result of the injury.
16. Ensure the preparer signs the form, provides their title, email, and the date to finalize the document.
17. Once all sections are accurately filled, save your changes. You can also download, print, or share the completed Onlineform50 as needed.

Complete your Onlineform50 and submit your claim for workers' compensation benefits today.