Here you will find the most current versions of the forms used by the South Carolina Retirement Systems. To use our forms, you will need to have the Adobe Acrobat Reader installed on your computer.
| Description |
Number |
| ACH Debit Authorization |
1226 |
| Adjustments to Magnetic Media Reports (South Carolina Retirement System, Police Officers Retirement System) |
1223 |
| Administrative Appeal Disability Report |
6291 |
| Application to Append Coverage for Incidental Death Benefit (SCRS) |
6502 |
| Application to Append Coverage for Incidental Death Benefit, Accidental Death Program And/Or Firefighters Coverage (PORS) |
6502P |
| Authorization for Release of Information (All Systems) |
6255 |
| Beneficiary Form - Beneficiary Designation, Contingent Beneficiary (All Systems) |
1102 |
| Beneficiary/Trustee Designation Form (All Systems) |
1103 |
| Certification of Nonexistent Trust (All Systems) |
4257 |
| Certification of Trust (All Systems) |
1113 |
| Change of Address |
1117 |
| Claim and Proof of Death |
4153 |
| Deduction Form, Public Safety Officer Insurance Payment Program - EIP Only |
7700 |
| Deduction Form, Public Safety Officer Insurance Payment Program - Non-EIP |
7701 |
| Deferred Annuity Account (JSRS) Payout Form |
7800 |
| Direct Deposit Authorization |
7204 |
| Due Date Calendar |
1341 |
| Election of Non-Membership |
1104 |
| Electronic Employer Services (EES) Authorizing Contact Designation/Agreement |
6504 |
| Electronic Employer Services (EES) Designated Agent Confidentiality Agreement |
6505 |
| Electronic Employer Services (EES) Employer Confidentiality Agreement |
6503 |
| Employer Certification of Police Officers Retirement System (PORS) Eligibility |
1107 |
| Employer Eligibility Determination Request |
6500 |
| Employer Resolution And Application (PORS) |
6501P |
| Employer Resolution And Application (SCRS) |
6501 |
| Employer Resolution on Tax Deferred Payroll Deductions for Installment Purchase |
3228 |
| Employer's Description of Disability Applicant's Job |
6254 |
| Employer's Disability Employment Status Report |
6253 |
| Enrollment Form (All Systems) |
1100 |
| Fiscal Year Contribution Rates |
1340 |
| General Assembly Retirement System Application for Service Retirement Benefits |
6101G |
| General Assembly Retirement System Special Contributing Member Election |
2140 |
| Installment Service Purchase Remittance |
3229 |
| Judges and Solicitors' Retirement System Application for Service Retirement Benefits |
6101J |
| Member's Disability Report |
6251 |
| NGRS Service Retirement Application |
6101N |
| Notification of Employed Retiree |
1114 |
| Police Officers Retirement System Application for Disability Retirement |
6151P |
| Police Officers Retirement System Application for Service Retirement Benefits |
6101P |
| Refund Request (South Carolina Retirement System, Police Officers Retirement System) |
4101 |
| Request for ORP Service Verification (Applies to ORP service in South Carolina only.) |
2130 |
| Request for Public/Educational Service Verification |
2122 |
| Request for Retirement Benefit Estimate (All Systems) |
6100 |
| Request for Service Purchase Cost (All Systems) |
2101 |
| Retired Member Change of Beneficiary (South Carolina Retirement System, Police Officers Retirement System) |
7201 |
| Retired Member Change of Beneficiary Form (GARS) |
7201G |
| Retiring Member's Disability Applications Checklist |
6352 |
| Retiring Member's Service Application Checklist |
6302 |
| Service Purchase Federal Address List |
2391 |
| Service Purchase Payment Options (All Systems) |
2390 |
| Service Purchase Salary Verification |
2209 |
| South Carolina Retirement System Application for Disability Retirement |
6151S |
| South Carolina Retirement System Application for Service Retirement Benefits |
6101S |
| Standard Retirement Quarterly Report - Class I Employer (South Carolina Retirement System, Police Officers Retirement System) |
1222 |
| Standard Retirement Quarterly Report (South Carolina Retirement System, Police Officers Retirement System) |
1221 |
| State Optional Retirement Program (ORP) Active Incidental Death Benefit Beneficiary Form (South Carolina Retirement System) |
1106 |
| State Optional Retirement Program (State ORP) |
1162 |
| Supplemental Contribution Report (After 07/01/2005) |
1227 |
| Supplemental Service Report (South Carolina Retirement System, Police Officers Retirement System) |
1224 |
| Teacher and Employee Retention Incentive (TERI) Payout Election Form |
7500 |
| TERI Program Reminders |
6376 |
| Withholding Certificate for Monthly Benefit Payments |
7202 |
