This is one of the official workers' compensation forms for the the state of South Carolina
North Charleston South Carolina Employee's Notice of Claim and or Request for Hearing, Death Case for Workers' Compensation
Category:
State:
South Carolina
City:
North Charleston
Control #:
SC-52-WC
Format:
PDF
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How to fill out South Carolina Employee's Notice Of Claim And Or Request For Hearing, Death Case For Workers' Compensation?
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FAQ
For 2022, the maximum amount an injured worker can receive weekly in workers' compensation benefits is $963.37, even if two-thirds of their usual weekly salary would be higher than that.
But how to file a workers' compensation claim?...In the claim form, you will need to fill in the following details: Time, date, and location of the injury. How the accident happened. Nature and location of the injury on your body. Any other people who were involved. Gave medical treatment so far.
Wait seven days ? Your workers' comp benefits will begin seven days after the injury. These benefits will not cover the first seven days of lost income but will instead start with the second week of lost income. If you must miss more than 21 days of work, you will receive payment for the first week of lost work.
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.
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.
All Employers or Carriers MUST file a Form 19 ?Employer's Report of Employee's Injury to the Industrial Commission? within five days of learning of any injury or allegation of an injury. Employers should use the following form.
Injury/illness report. Employers typically request that employees report occupational injuries/illnesses immediately but no later than 24 to 48 hours after the incident. This allows an employer to timely investigate the matter and take safety measures to avoid further incidents.
Under North Carolina law, the statute of limitations for workers' compensation claims is two years from the date of the injury. To be clear, this is how long you have to file your claim.
Injured NC workers who suffer wage loss because of a covered injury are entitled to disability payments under workers' comp laws in NC. These benefits are based on the employee's Average Weekly Wage. Disability payments can be for partial or total disability, and can be for a disability that is temporary or permanent.
First, you must notify your employer of your injuries. Next, you must file a Form 50 or Form 52 with the South Carolina Workers' Compensation Commission.
