The Farmers Almanac of Workers’ Comp GREGORY S. LINE DIRECTOR OF CLAIMS SC WORKERS’ COMPENSATION COMMISSION

COMMUNICATION Call or write the Commission us: Claims Department ( ) –Vivian Brown –Juliet Bush –Cheryl Bennett

Judicial Department ( ) Data Department ( ) Coverage and Compliance Department ( ) If you want to cancel a hearing or informal conference contact the Commissioner/Deputy Commissioner

HOW TO AVOID FINES File forms timely and correctly Send two copies of any form If you don’t get a stamped form back, call Claims Department Respond to any letter or request File a Form 18 to request an extension If TPA, make sure carrier knows to send info to you

Filing Form 19 When filing Form 19 –If temporary comp paid, did you file all Form 15’s and/or Form 17’s –Attach copy of final medical report showing no disability, if applicable –Make sure all signatures are on Form 19 –If you show you paid permanent disability ensure that we have either an order from a Commissioner, a Form 16 or a clincher

Informal Conference Requesting an Informal Conference –File Form 18 –Send final medical report –Send Form 14B (7/1/07) –Ensure Form 15 and Form 17 has been received by the Commission, if applicable –Send Form 20, if no, Form 15 or Form 20 previously filed –Have the adjuster bring the original and three copies of the Form 16 or Form 16A

Clinchers Send all clinchers to Attn: Mary Bost Send original and two copies, with self addressed stamped envelope Ensure all signatures are on clincher Send check for $25.00 Injuries prior to 7/1/07 clinchers will be sent to the Jurisdictional Commissioner for approval Injuries on or after 7/1/07 clinchers will be stamped “RECEIVED”

Clincher Conference If the claimant is not represented by an attorney send a request for a clincher conference to the Judicial Department Send copy of the proposed clincher agreement Send Form 14B Send check for $25.00

Form 16/16A Send all Form 16’s/16A’s to Attn: Cheryl Bennett File original and two copies, with self addressed stamped envelope Send $25.00 filing fee Ensure all signatures are on the form Injuries before 7/1/07 will be sent to the Jurisdictional Commissioner for approval Injuries on or after 7/1/07 will be stamped “RECEIVED”

Fee Petitions Send new Form 61 signed by the claimant and attorney, along with a self addressed stamped envelope Send the new Order Cost sheet should be attached The approved Order will be signed by a Commissioner, if he/she approves