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WCC File #: South Carolina Workers Compensation Commission 1333 Main Street, Suite 500 P.O. BOX 1715 Columbia, SC 292021715 (803) 7375675 www.wcc.sc.gov Judicial WCC.SC.gov Claimant's Name: Carrier
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Form 40 12-2009doc is a document used for reporting specific information to the relevant authorities.
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Individuals or entities meeting certain criteria as outlined by the authorities are required to file form 40 12-2009doc.
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