South Carolina workers comp Form 16A is the written agreement that settles how much permanent disability or disfigurement pay you receive after a work injury. The employer or its insurance carrier fills it out with you, the injured worker, and both sides sign it. It applies to injuries that happened after July 1, 2007. If you are healing from an injury and worried about money, this form is often the step that puts a final number on your permanent loss.
What the South Carolina Workers Comp Form 16A Is For
Many injuries heal, but some leave lasting damage. For example, you might lose some use of a hand, a back, or a knee. You might also have a scar. In most cases, the carrier offers to pay for that permanent loss once your doctor says you have healed as much as you can. South Carolina workers comp Form 16A puts that offer in writing. It lists the body part, the rating, the weekly rate, and the number of weeks paid.
The form is an agreement, not a demand. However, it is still a legal document. Once the Commission approves it, it carries real weight. As a result, it is worth slowing down and checking every line. The table below shows the key facts about this form.
| Item | Details |
|---|---|
| Form number | Form 16A |
| Form title | Agreement for Permanent Disability / Disfigurement Compensation (injuries after July 1, 2007) |
| Who files | employer/carrier and claimant |
| Where filed | South Carolina Workers’ Compensation Commission |
| Fee | $50 if the claimant is represented |
| Official PDF | Form 16A official PDF |
Who Files the South Carolina Workers Comp Form 16A and When
South Carolina workers comp Form 16A is filed by the employer or carrier and the claimant together. In most cases, the carrier prepares the form. Then it sends it to you or your lawyer to review and sign. You should never feel rushed. You have the right to read it, ask questions, and get advice first.
Typically, this form comes up after your treating doctor finds you have reached maximum medical improvement. That means your condition is not expected to get much better. The doctor may then give you a permanent impairment rating. The carrier uses that rating to figure out what it will offer on the form.
If you have not yet started your case, see how to file a South Carolina workers comp claim. You can also review South Carolina workers comp requirements to check that your job and injury are covered.
How to Fill It Out and Where to Send It
South Carolina workers comp Form 16A has a few main parts. First, it names you, the employer, and the carrier. Next, it gives the claim details, such as the date of injury. Then it lists the injured body part and the permanent rating. Finally, it shows the compensation rate, the number of weeks, and the total amount. Both sides sign at the end.
Common mistakes can slow approval. For example, a wrong date of injury, a missing signature, or a math error can cause problems. Another issue is a rating that does not match the doctor’s report. In addition, a missing fee for a represented claimant can delay things. As a result, check each number against your medical records and pay stubs.
You can download the official South Carolina workers comp Form 16A PDF from the Commission. You can also find every current form on the South Carolina Workers’ Compensation Commission forms page. The Commission accepts many filings electronically, and carriers and lawyers often file that way. However, filing rules can change. Confirm the current filing method with the Commission before you send anything.
What Happens After You File
After South Carolina workers comp Form 16A is filed, the Commission reviews it. The goal is to make sure the agreement is fair and follows the law. If you have no lawyer, the Commission may look more closely at the deal. It may also ask to meet with you before approving it. Once approved, the carrier typically pays the agreed amount as the form describes.
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If something looks wrong, you do not have to sign. You can ask the carrier to fix it or ask the Commission for help. To learn how the agency works, visit our guide to the South Carolina workers comp board. Keep a copy of everything you sign and everything you receive.
Frequently Asked Questions
Do I have to sign South Carolina workers comp Form 16A?
No. South Carolina workers comp Form 16A is an agreement, so you can decline to sign it. If you disagree with the rating or the amount, you may be entitled to ask the Commission to decide the issue. Confirm your options with the Commission and a licensed attorney.
Is Form 16A the same as a full settlement?
Not usually. In most cases, this form pays for a permanent injury or scar under the agreed terms. A full settlement that closes your entire case is typically a different document. Ask the Commission or a licensed attorney what your specific agreement covers before you sign.
How much will South Carolina workers comp Form 16A pay me?
The amount depends on your weekly rate, the body part, and your impairment rating. Every case is different, and any estimate you see is illustrative only. Confirm the exact figure with the South Carolina Workers’ Compensation Commission and a licensed attorney before you agree.
South carolina workers comp form 16a: Quick Recap
If you remember one thing about south carolina workers comp form 16a, 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 16a should be confirmed with the agency before you act on it.
Questions about south carolina workers comp form 16a 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.
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.
Related Guides
- South Carolina Workers Comp Board
- How to File a South Carolina Workers Comp Claim
- South Carolina Workers Comp Requirements
- Workers Comp Settlements by State (All 50)
- Workers Comp Claims by State (All 50)
- More in This Category
- Settlements by Injury
- Benefits Explained
- Workers Comp Glossary
Informational only — not legal, medical, or financial advice. Workers Comp Explained is an independent educational resource, not a law firm, insurer, or medical or financial advisor, and this page does not provide legal, medical, or financial advice. Workers’ compensation benefits, deadlines, and rules vary by state and change over time, and settlement estimates are illustrative only. Always confirm the exact figure and any deadline with your state’s workers’ compensation board and a licensed attorney before you act.