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South Carolina Workers' Compensation Commission Form 18

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RECEIPT OF COMPENSATION

South Carolina Workers’ Compensation Commission
1333 Main Street, Suite 500
P.O. BOX 1715
Columbia, SC 29202-1715
(803) 737-5723

WCC File #:

Carrier File #:

Carrier Code #:

Employer FEIN #:

Claimant's Name:

Address:

City: State: Zip:

Home Phone: Work Phone:

Employer's Name:

Address:

City: State: Zip:

Insurance Carrier:

Preparer’s Name: Law Firm: Preparer’s Phone #:

Date of injury:

1. Temporary Compensation Paid:

Number of Weeks
From
To
Amount

2. The claimant returned to work on

With restrictions but at a salary not less than before the injury.

Without restrictions.

3. The claimant agrees he or she was able to return to work on

I agree that I was disabled for the period(s) indicated and I was paid compensation as shown above. I UNDERSTAND THAT MY WEEKLY TEMPORARY COMPENSATION CHECKS WILL STOP; HOWEVER, I GIVE UP NO RIGHTS TO COMPENSATION FOR FUTURE DISABILITY, FOR PERMANENT DISABILITY, DISFIGUREMENT OR MEDICAL CARE.

The effect of this form has been fully explained to me, and I have received a copy of it. I understand that I should not sign this form until 15 days after I have returned to work or agree I was able to return to work.

Claimant’s Signature

Employer’s Representative Signature

Witness Claimant’s Attorney

(Check one)

Date Agreement Signed

File this form with the Claims Department no later than 31 days from the date the claimant returned to work to terminate temporary compensation after the first 150 days after employer’s notice of the injury according to R.67-505. Within the 150 period, obtain Form 17 to document that claimant agrees he or she is able to return to work.

WCC Form # 17

Rev. Date 1/2014

17
RECEIPT OF COMPENSATION
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What South Carolina Workers' Compensation Commission Form 18 Is and when it’s used

The South Carolina Workers' Compensation Commission Form 18 is the standard claim form used to initiate a workers' compensation case in South Carolina. It collects claimant and employer information, describes the date and nature of the injury, lists medical treatment received, and identifies benefits requested. Employers, injured workers, or attorneys commonly complete Form 18 to notify the Commission and start formal proceedings. Accurate completion establishes the administrative record used for scheduling hearings, assigning a claim number, and determining jurisdictional and medical details for compensability decisions.

Why completing Form 18 correctly matters

Filing Form 18 launches the Commission’s review and preserves your claim rights in South Carolina. A well-prepared form speeds case intake, reduces procedural delays, and ensures the Commission has the information needed to schedule hearings and request medical records.

Why completing Form 18 correctly matters

Who completes and relies on Form 18

Each party must ensure accuracy and timely filing; omissions commonly trigger administrative requests or case continuance.

  • Injured workers — Report injury details and benefits requested to start a claim.
  • Employers/adjusters — Provide employment, wage, and incident context for Commission review.
  • Attorneys — Prepare Form 18 for clients and manage subsequent filings and hearings.

Step-by-step: preparing and filing Form 18

Follow these core steps to prepare, sign, and submit a complete Form 18 to the Commission.

  • 01
    Collect details: Gather claimant, employer, incident, and medical information before starting.
  • 02
    Complete form: Enter data in required fields, double-check dates and names.
  • 03
    Sign form: Apply authorized signature; use an accepted e-signature or wet signature per Commission guidance.
  • 04
    Submit: File with the Commission by the method accepted (e-file, mail, or in-person).

Overview of the Form 18 intake and processing flow

This is the typical routing sequence from preparation to Commission action for a Form 18 filing.

  • Preparation: Complete fields and attach supporting medical evidence.
  • Signature: Sign using an accepted method and certify accuracy.
  • Filing: Submit to the Commission and retain proof of submission.
  • Administrative review: Commission assigns a claim number and schedules next steps.

Configuring an online Form 18 workflow

If you file electronically, use a consistent workflow to reduce errors and maintain an audit trail.

Field validation Enforce required fields and date formats to prevent incomplete submissions.
Signer authentication Choose email link or SMS code authentication depending on sensitivity.
Attach records Enable PDF uploads for medical records and receipts.
Notifications Send confirmation to claimant, employer, and counsel when filed.
Retention Store a signed PDF copy and audit trail for compliance.

Digital submission basics and integration considerations

Choose tools that preserve timestamps and generate a certificate of completion to document intent and attribution under ESIGN and UETA.

  • File formats: PDF and DOCX widely accepted for attachments.
  • Authentication: Email or SMS verification is often sufficient for e-signatures.
  • Integrations: Connect with case management or HR systems for records.

Timing expectations after an injury and Form 18 filing

Timeframes vary by incident and Commission procedures; the list below outlines typical deadlines and processing milestones to monitor.

Immediate employer notice:

Notify employer as soon as practical to preserve internal reporting and benefits eligibility.

File Form 18:

File promptly after notice; delayed filings may complicate benefit calculations.

Medical documentation:

Provide treating records within days to weeks to support initial claim.

Commission acknowledgment:

Expect a claim number and receipt within a business week, depending on submission method.

Hearing scheduling:

Initial scheduling typically occurs within weeks to months, depending on caseload.

Key milestones in the Form 18 process

A sequential view of core case stages helps parties track progress and prepare required documentation.

01

Incident Reporting

Employer and claimant document the injury and notify relevant parties.

02

Claim Filing

Form 18 submitted to initiate Commission review and record creation.

03

Evidence Exchange

Medical records and employer reports are exchanged and entered into the file.

04

Hearing and Decision

Commission holds proceedings leading to ruling or settlement.

Common preparation errors that delay Form 18 processing

  • Incomplete claimant or employer contact information causes Commission follow-up and delays in case setup.
  • Incorrect or inconsistent dates of injury or employment history undermine initial jurisdictional determinations and may require amendment.
  • Missing or unsigned forms force refiling or produce administrative rejections by the Commission clerk's office.
  • Failing to attach or reference medical treatment records leads to evidentiary gaps and postponement of hearings.

Security and compliance considerations for handling Form 18

Encryption in transit: TLS 1.2/1.3
Encryption at rest: AES-256
Audit trail: Timestamps, IP, action log
HIPAA readiness: BAA available when PHI present
ESIGN/UETA: Electronic signature legality
Access controls: Role-based permissions

Consequences of incorrect or late Form 18 filings

Administrative delay: Hearing continuances
Claim dismissal: Possible procedural dismissal
Benefit denial: Eligibility disputes
Penal sanctions: Fines in rare cases
Evidence gaps: Weakened medical proof
Higher costs: Increased attorney fees

Essential parts of a professional Form 18 filing

A complete Form 18 and supporting packet will be concise, accurate, and supported by corroborating documents to expedite Commission review and reduce follow-up.

Claimant details

Full legal name, contact information, and employment identifiers to confirm identity and benefit eligibility.

Employer data

Employer legal name, address, and carrier or adjuster contact information to route notices correctly.

Accident description

Clear narrative of how, when, and where the injury occurred and which body parts were affected.

Medical history

Summary of treatment received, treating providers, and records attached or referenced for Commission review.

Relief requested

Specify benefits sought (medical, temporary total, permanent partial) and the time periods involved.

Verification

Signature, date, and any notarization if required by filing rules or Commission instruction.

eSignature vendor comparison for filing and signing Form 18

Price and feature comparisons can help choose a compliant e-signature provider that supports secure submission, audit trails, and required integrations.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Varies by plan Varies by plan Varies by plan Varies by plan
Bulk Send Yes (Premium) Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
Envelope Cap No cap 100 envelopes/user/year Varies Varies Varies

Frequently asked questions about Form 18 and e-submission

Answers to common procedural and technical questions to help avoid delays and ensure compliant filings with the Commission.


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