south carolina workers comp form 19 is the Status Report and Compensation Receipt. The employer or its insurance carrier files it with the South Carolina Workers’ Compensation Commission. It reports how much has been paid on your claim and where the claim stands. In most cases, it is filed when payments stop or the claim is ready to close. If you were hurt at work, this form matters to you. It is the official record of the benefits you received.
What the South Carolina Workers Comp Form 19 Is For
Think of the south carolina workers comp form 19 as a payment summary. It tells the Commission what the carrier paid you and for how long. For example, it may show weekly wage-loss checks, the dates they covered, and the total amount. It also shows whether the claim is still open or ready to close. As a result, the Commission can track your claim without a hearing.
The form has a second job. It works as a receipt. In many claims, the injured worker is asked to sign it to confirm the payments were received. Signing a receipt is not the same as agreeing to a settlement. However, you should never sign anything you do not understand. If the numbers look wrong, ask questions before you sign.
| Item | Details |
|---|---|
| Form number | Form 19 |
| Form title | Status Report and Compensation Receipt |
| Who files | employer/carrier |
| Where filed | South Carolina Workers’ Compensation Commission |
| Fee | No fee |
| Official PDF | Form 19 PDF from the Commission |
Who Files the South Carolina Workers Comp Form 19 and When
The employer or its insurance carrier files the south carolina workers comp form 19. You, the injured worker, do not have to file it. Typically, the carrier’s claims adjuster prepares it. Some self-insured employers handle it on their own. Either way, the duty to file sits with the employer/carrier side, not with you.
Timing depends on what is happening in your claim. In most cases, the form is due after the final payment of compensation. It may also be used to update the Commission on a claim’s status. The Commission’s rules set the exact window for filing. Because those rules can change, check the current deadline directly with the agency.
You also have your own deadlines in a South Carolina claim. These include reporting your injury and filing your own claim. Those deadlines are separate from this form. To learn more, see our guide on 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 19 asks for basic claim facts. These include the worker’s name, the employer, the carrier, and the date of injury. It also asks for the Commission’s claim file number if one exists. The main section lists payments. Typically, that means the type of benefit, the weekly rate, the period covered, and the total paid. There is also a place for signatures.
Common mistakes can get the form questioned or sent back. For example:
- A missing or wrong claim file number.
- Payment totals that do not match the dates and weekly rate.
- Blank sections or missing signatures.
- Wrong spelling of the worker’s or employer’s name.
- Filing before benefits have actually ended.
You can download the official form from the Commission. Use the official south carolina workers comp form 19 PDF. The full list of claim forms is on the South Carolina Workers’ Compensation Commission forms page. Carriers usually file through the Commission’s electronic system. However, filing methods can change. Check the forms page for current e-filing and mailing instructions.
What Happens After You File
Once the Commission receives the south carolina workers comp form 19, it reviews the form and adds it to your claim file. If everything checks out, the record shows what you were paid. In some cases, the claim may then move toward closing. If you think benefits ended too early, you may be entitled to ask for a hearing. In most cases, you should act quickly if you disagree.
📨 Get Free Workers Comp Guides Alerts
Free · No spam · Unsubscribe anytime
Keep a copy of every form you sign or receive. Compare the totals on the form with your own pay records and bank deposits. If something looks off, contact the Commission directly. You can learn more about the agency on our South Carolina workers comp board page. For coverage basics, see South Carolina workers comp requirements.
Frequently Asked Questions
Do I have to sign the south carolina workers comp form 19?
You may be asked to sign the receipt section to confirm you got the payments listed. Read every line before signing, and check the totals against your records. If you are unsure, confirm with the Commission and a licensed attorney first.
Does signing the south carolina workers comp form 19 end my claim?
The form is a status report and receipt, not a settlement agreement. However, it may be filed when the carrier believes payments are finished. If you still need treatment or cannot work, talk to the Commission or a licensed attorney about your options.
Is there a fee to file the south carolina workers comp form 19?
No. The anchor rule is simple: there is no fee for this form. Also, the employer or carrier files it, so you do not pay anything to have it filed.
South carolina workers comp form 19: Quick Recap
If you remember one thing about south carolina workers comp form 19, 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 19 should be confirmed with the agency before you act on it.
Questions about south carolina workers comp form 19 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.