BEFORE THE SOUTH CAROLINA WORKERS’ COMPENSATION COMMISSION CLAIMANT NAME, EMPLOYEE/CLAIMANT vs. EMPLOYER NAME, and CARRIER NAME, CARRIER/DEFENDANT ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ORDER APPROVING ATTORNEY’S FEE WCC File No. After review of the record in the above captioned matter and the controlling legal standards for the award of attorney fees and costs in workers’ compensation proceedings under S.C. Reg. 1204-1207 and Rule 1.5(a) of the Code of Professional Conduct, I find the attorney’s fee of ______________ and costs of _____________ in this matter to be reasonable and hereby approve fees and costs as set forth herein. AND IT IS SO ORDERED. Date:______________ ______________________ COMMISSIONER SCWCC American LegalNet, Inc. www.FormsWorkflow.com