Home
Forms Library
Report workers compensation

Report workers compensation 2026

report workers compensation Preview on Page 1

See details

4.7 out of 5

55 votes

The document is a form from the South Carolina Workers' Compensation Commission for reporting minor medical claims for a calendar year. It includes sections for insurance carrier identification, reporting contact address, and a statistical report on total claims and medical costs. The form must be submitted to the Accident Reporting Division by April 1st, with only one report accepted per carrier.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out report workers compensation with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the report workers compensation in the editor.
Begin with Section I, Carrier Identification. Enter the Insurance Carrier FEIN and SCWCC Code No. if they are missing or incorrect.
Fill in the Insurance Carrier Name to ensure proper identification of your insurance provider.
Proceed to Section II, Reporting Contact Address. Confirm that the address shown is correct for form completion, or provide an alternative address for future editions.
In Section III, Statistical Report, enter your name and telephone number as the preparer. Then, input the total minor medical claims filed and total medical costs paid during the calendar year.
Review all entries for accuracy before submitting. Ensure you file this form with the Accident Reporting Division by April 1st as required.

Start using our platform today to streamline your report workers compensation process for free!

be ready to get more