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  • Box 1715 Columbia, Sc 29202-1715 (803) 737-5675 Claimant's Name: Carrier File #: Carrier Code #

Get Box 1715 Columbia, Sc 29202-1715 (803) 737-5675 Claimant's Name: Carrier File #: Carrier Code #

Ployer FEIN #: SSN: Employer's Name: Address: City: Address: State: Home Phone: Zip: City: Work Phone: Preparer s Name: State: Zip: Insurance Carrier: Law Firm: Preparer s Phone #: Occupational Disease Waiver The undersigned applicant does hereby waive my right to make a claim for compensation for the occupational disease indicated while employed by the above employer. I understand my right to waive liability for the above-named disease as provided for in Section 42-11-80 and R.

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Related content

Form 30 - SC Workers' Compensation Commission
P.O. BOX 1715. Columbia, SC 29202-1715. 803-737-5675 www.wcc.sc.gov. WCC File #:. Carrier...
Learn more
WCC File - SC Workers' Compensation Commission
P.O. BOX 1715. Columbia, SC 29202-1715. (803) 737-5675 www.wcc.sc.gov. WCC File #:...
Learn more
Form # 33 - SC Workers' Compensation Commission
P.O. BOX 1715. Columbia, SC 29202-1715. 803-737-5675. WCC File #:. Carrier File #:...
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As a general rule, workers' compensation entitles you to 66 ⅔% of your average weekly salary. However, there are restrictions. The South Carolina Department of Employment and Workforce (DEW) sets a maximum amount you may collect each week.

If you are entitled to temporary total compensation you will receive 66 2/3% of your average weekly wages based on the four quarters prior to your injury but no more than the maximum average weekly wage determined yearly by the South Carolina Department of Employment and Workforce.

As a general rule, businesses that regularly employ four or more employees within South Carolina are required to maintain workers' compensation coverage. Part-time workers and family members are counted as employees.

South Carolina is an employment-at-will state. An employee under at-will employment may be fired at any time for any reason or no reason. An employee on workers' compensation generally is not exempt from termination of their employee at-will. The exception to the rule is a retaliatory discharge.

South Carolina Workers' Compensation is a “no-fault” system. SC Workers Compensation Commissioners (i.e. Judges) do not weigh negligence or assess fault in determining whether you are entitled to compensation for your on-the-job injury.

In general, the overarching rule is that you have two years from the date of your injury to bring a claim before the South Carolina Workers' Compensation Commission. If you do not file a claim within that two-year period, you will invariably lose out on your rights.

South Carolina's workers' compensation laws simply state that you are entitled to losses that result from your work-related injury. Unless you intentionally hurt yourself, were injured due to your own intoxication, or engaged in fraud, you are likely entitled to compensation.

Your average weekly wage sets the dollar amount to value your settlement. "Average weekly wage" defined. Your average weekly wage sets the dollar amount to value your settlement. It's usually based on your wages for the last 4 quarters before you got hurt, excluding the quarter you got hurt.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232