South Carolina
Workers Comp
Last updated: 3/21/2024
Employees Notice Of Claim And Or Request For Hearing {50}
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Description
50 - EMPLOYEE’S NOTICE OF CLAIM AND/OR REQUEST FOR HEARING. This form is used for filing a claim for workers' compensation benefits with the South Carolina Workers' Compensation Commission. It collects essential information about the claimant, details of the injury or illness, employment history, medical treatment received, benefits requested, and any additional parties involved. Additionally, the form allows the claimant to indicate whether they are requesting a hearing, mediation, or any other amendments related to the claim. www.FormsWorkflow.com
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