Forms by Number
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Here you will find the current versions of all SC Retirement Systems forms. To use our forms, you will need to have the Adobe Acrobat Reader installed on your system.
| Number | Description |
| 1100 | Enrollment Form (All Systems) |
| 1102 | Beneficiary Form - Beneficiary Designation, Contingent Beneficiary (All Systems) |
| 1103 | Beneficiary/Trustee Designation Form (All Systems) |
| 1104 | Election of Non-Membership |
| 1106 | State Optional Retirement Program (ORP) Active Group Life Beneficiary Form (South Carolina Retirement System) |
| 1107 | Employer Certification of Police Officers Retirement System (PORS) Eligibility |
| 1113 | Certification of Trust (All Systems) |
| 1114 | Notification of Employed Retiree |
| 1162 | State Optional Retirement Program (State ORP) |
| 1221 | Standard Retirement Quarterly Report (South Carolina Retirement System, Police Officers Retirement System) |
| 1222 | Standard Retirement Quarterly Report - Class I Employer (South Carolina Retirement System, Police Officers Retirement System) |
| 1223 | Adjustments to Magnetic Media Reports (South Carolina Retirement System, Police Officers Retirement System) |
| 1224 | Supplemental Service Report (South Carolina Retirement System, Police Officers Retirement System) |
| 1226 | ACH Debit Authorization |
| 1227 | Supplemental Contribution Report (After 07/01/2005) |
| 1340 | Fiscal Year Contribution Rates |
| 1341 | Due Date Calendar |
| 2101 | Request for Service Purchase Cost (All Systems) |
| 2122 | Request for Public/Educational Service Verification |
| 2130 | Request for ORP Service Verification (Applies to ORP service in South Carolina only.) |
| 2140 | General Assembly Retirement System Special Contributing Member Election |
| 2209 | Service Purchase Salary Verification |
| 2390 | Service Purchase Payment Options (All Systems) |
| 2391 | Service Purchase Federal Address List |
| 3228 | Employer Resolution on Tax Deferred Payroll Deductions for Installment Purchase |
| 3229 | Installment Service Purchase Remittance |
| 4101 | Refund Request (South Carolina Retirement System, Police Officers Retirement System) |
| 4153 | Claim and Proof of Death |
| 4256 | Certification of Trust - Death Claims (All Systems) |
| 4257 | Certification of Nonexistent Trust (All Systems) |
| 4258 | Successor Trustee Certification (All Systems) |
| 5202 | Employer Supply Request |
| 6100 | Request for Retirement Benefit Estimate (All Systems) |
| 6101G | General Assembly Retirement System Application for Service Retirement Benefits |
| 6101J | Judges and Solicitors' Retirement System Application for Service Retirement Benefits |
| 6101N | NGRS Service Retirement Application |
| 6101P | Police Officers Retirement System Application for Service Retirement Benefits |
| 6101S | South Carolina Retirement System Application for Service Retirement Benefits |
| 6151P | Police Officers Retirement System Application for Disability Retirement |
| 6151S | South Carolina Retirement System Application for Disability Retirement |
| 6201 | Employer Certification of Last Day Paid (All Systems) |
| 6251 | Member's Disability Report |
| 6253 | Employer's Disability Employment Status Report |
| 6254 | Employer’s Description of Disability Applicant’s Job |
| 6255 | Authorization for Release of Information (All Systems) |
| 6291 | Administrative Appeal Disability Report |
| 6302 | Retiring Member's Service Application Checklist |
| 6352 | Retiring Member's Disability Applications Checklist |
| 6376 | TERI Program Reminders |
| 6500 | Employer Eligibility Determination Request |
| 6503 | Electronic Employer Services (EES) Employer Confidentiality Agreement |
| 6504 | Electronic Employer Services (EES) Authorizing Contact Designation/Agreement |
| 6505 | Electronic Employer Services (EES) Designated Agent Confidentiality Agreement |
| 7201 | Retired Member Change of Beneficiary (South Carolina Retirement System, Police Officers Retirement System) |
| 7202 | Pension Withholding Certificate/Automatic Deposit Authorization (All Systems) |
| 7500 | Teacher and Employee Retention Incentive (TERI) Payout Election Form |
| 7700 | Deduction Form, Public Safety Officer Insurance Payment Program - EIP Only |
| 7701 | Deduction Form, Public Safety Officer Insurance Payment Program - Non-EIP |
| 7800 | Deferred Annuity Account (JSRS) Payout Form |