Commonly Used Documents

South Carolina Workers' Compensation Commission
Corporate Office Notice to Reject

Application for Membership in a Self-Insured Fund

Notice of Election of Coverage Under Workers' Compensation Law

ACORD Workers Compensation Application (This form can't be emailed)

Statement of Assets & Liabilities (Balance Sheet)

ERM-14

Contractors Supplemental Application (Effective 3/1/2008)

Agreement to Pay Premiums and Reasonable Attorney's Fees and Costs in the Event Collection Becomes Necessary/Personal Guaranty Forms

Underwriting Checklist-Information needed to quote and bind coverage through the SCHBSIF

No Loss Statement (This form can't be emailed)

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