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Get the free WCC Form # 21 Employer's Request for Hearing - Workers ... - wcc sc

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WCC File #: South Carolina Workers' Compensation Commission 1333 Main Street, Suite 500 Post Office Box 1715 Columbia, South Carolina 29202-1715 (803) 737-5675 Claimant's Name: Address: City: Home
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WCC Form 21 is a report used by employers for filing workers' compensation claims related to wage loss and medical benefits for injured employees.
Employers who have employees covered under workers' compensation laws are required to file WCC Form 21.
To fill out WCC Form 21, employers need to accurately provide details about the employee's injury, wage information, and any applicable medical expenses. It is essential to follow the instructions provided with the form.
The purpose of WCC Form 21 is to formally document and report an employee's wage loss and medical claims related to a work-related injury to the workers' compensation board.
Information that must be reported on WCC Form 21 includes the employee's personal details, accident date, type of injury, wage information, and medical treatment costs.
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