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O. Box 2071 Ridgeland SC 29936 FILING INSTRUCTIONS 7. Two copies of this form the original and either a duplicate original or a conformed copy must be filed. 2. If you wish to apply as a self-insured for worker s compensation coverage in South Carolina you may do so with the South Carolina Wotket s Compensation Commission WCC provided that you will be able to 1 post a surety bond or letter-of-credit with the WCC for a minimum of 500100012 agree to pay a yearly self-insurance tax and 3 agree...
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