South Carolina Workers Comp Form 50: Employee’s Notice of Claim and/or Request for Hearing

✓ Verified October 05, 2026

The south carolina workers comp form 50 is the form an injured worker uses to put a work injury claim on record with the state. Its full name is the Employee’s Notice of Claim and/or Request for Hearing, and the injured worker is the one who files it. If you were hurt on the job and feel unsure what comes next, this guide walks through it step by step. It explains what the form does, when to file it, and what to expect after you send it.

The short answer: Form 50 lets you, the injured worker, formally tell the South Carolina Workers’ Compensation Commission about your claim. You can also use it to ask for a hearing if there is a dispute. Giving notice is free. Asking for a hearing costs $50.

What the South Carolina Workers Comp Form 50 Is For

The south carolina workers comp form 50 has two jobs. First, it puts your claim on file with the Commission. That creates an official record that you were hurt at work and are claiming benefits. Second, it can ask the Commission for a hearing. A hearing is how a commissioner settles a disagreement between you and the insurance company.

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For example, your employer’s insurer might deny your claim. It might stop your weekly checks or refuse a treatment your doctor ordered. In those cases, many South Carolina claimants use this form to ask for a hearing. However, you can also file it only as a notice, even when nothing is in dispute yet. As a result, the form protects your claim either way.

Item Details
Form number Form 50
Form title Employee’s Notice of Claim and/or Request for Hearing
Who files The injured worker
Where filed South Carolina Workers’ Compensation Commission
Fee No fee to give notice; $50 if a hearing is requested
Official PDF Form 50 (official PDF)

Who Files the South Carolina Workers Comp Form 50 and When

The injured worker files the south carolina workers comp form 50. If you have a lawyer, they typically prepare and file it for you. Your employer does not file this form. Employers and insurers use their own forms to report injuries and respond to claims. If you’re not sure what your employer must do, our guide to South Carolina workers comp requirements explains the basics.

Timing matters. South Carolina has two separate deadlines. One is for telling your employer about the injury. The other is for filing your claim with the Commission. Filing this form is one common way to meet the Commission deadline.

Deadline rule: South Carolina law sets a time limit for reporting your injury to your employer. A separate limit applies to filing your claim with the Commission. That clock usually starts on the date of the accident. For some illnesses, it may start when you learned the condition was work-related. Miss either deadline and you may lose your right to benefits. Confirm the exact time limits with the South Carolina Workers’ Compensation Commission and a licensed attorney before you act.

In most cases, filing sooner is safer than waiting. You do not need to be in a dispute to file the south carolina workers comp form 50. Filing just a notice can protect your claim while you heal. For the full process, see how to file a South Carolina workers comp claim.

How to Fill It Out and Where to Send It

The south carolina workers comp form 50 asks for basic facts. You will list your name, address, and contact details. Then you will name your employer and its insurance carrier, if you know it. You will give the date and place of the accident. You will also describe how it happened and which body parts were hurt. Finally, you will mark whether you are giving notice only or also asking for a hearing. If you ask for a hearing, you will list the issues in dispute.

Some mistakes come up again and again. Watch out for these common problems:

  • Leaving the accident date blank or writing the wrong date.
  • Listing only one body part when several were hurt.
  • Asking for a hearing without paying the $50 fee.
  • Forgetting to sign the form.
  • Not sending a copy to the employer or insurance carrier when the form requires it.

You can download the official South Carolina workers comp Form 50 PDF from the Commission. The Commission’s official forms page lists current versions and filing instructions. The Commission accepts electronic filing, and many filers use it. Paper filing may also be an option. Check the forms page for the current method before you send the south carolina workers comp form 50, because procedures can change.

What Happens After You File

If you filed for notice only, the Commission keeps your claim on record. Benefits may continue as normal if the insurer accepts your claim. However, if you asked for a hearing, the employer or insurer typically files a written answer. The Commission then sets the case for a hearing before a commissioner. In some cases, the parties are sent to mediation first. Many claims settle before the hearing date.

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Keep copies of everything you file and receive. If you have questions about your case status, contact the Commission directly. Our page on the South Carolina workers comp board explains how the Commission works and how to reach it. Every case is different, so confirm next steps with the Commission and a licensed attorney.

Frequently Asked Questions

Does it cost money to file the south carolina workers comp form 50?

Giving notice of your claim costs nothing. If you also ask for a hearing, there is a $50 fee. Confirm current payment methods on the Commission’s forms page before you file.

Can I file the south carolina workers comp form 50 without a lawyer?

Yes. The injured worker is the person who files this form, and you can file it yourself. However, many South Carolina claimants talk with a licensed attorney first, especially when a claim is denied. A lawyer can help you list the right issues and meet deadlines.

What if my employer already reported my injury?

Your employer’s report is not the same as your own claim. Filing the south carolina workers comp form 50 puts your claim on record in your name. As a result, it can help protect your rights if a dispute comes up later.

Bottom line: The south carolina workers comp form 50 is your tool for putting a claim on record and, if needed, asking for a hearing. Notice is free, and a hearing request costs $50. File early, keep copies, and confirm your deadlines with the South Carolina Workers’ Compensation Commission and a licensed attorney.

South carolina workers comp form 50: Quick Recap

If you remember one thing about south carolina workers comp form 50, make it this: the rule is set by the state (or the federal program), not by the insurer, and the official source is linked above. Every figure on this page about south carolina workers comp form 50 should be confirmed with the agency before you act on it.

Questions about south carolina workers comp form 50 that this page does not answer are usually answered for free by the state workers’ comp agency’s information line — and, for a disputed claim, by a licensed attorney in a first consultation.

See your state’s exact numbers

What you are owed depends on your state’s benefit caps and deadlines. Start with your state’s settlement and claim guides for the exact figures.

Find Your State’s Workers Comp Guide →

Sources & How to Verify

The figures on this page come from official government and industry sources. Workers’ comp benefit caps, deadlines, and rules change, so always confirm the exact figure with your state’s workers’ comp board or a licensed attorney before acting. Settlement estimates are illustrative, and every case is different.

  • Your state workers’ comp board, division, or commission: the official source for your state’s exact caps, deadlines, and forms — search “[your state] workers compensation board”
  • U.S. Department of Labor (OWCP): dol.gov — federal workers’ compensation overview
  • NCCI: ncci.com — workers’ comp rating and benefit data
  • Social Security Administration: ssa.gov — benefit-cap and SSDI offset data
  • Insurance Information Institute: iii.org — neutral workers’ comp background

Content last reviewed October 2026. If you notice an outdated figure, please contact us.

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