Forms by Number
View forms by: | Category | Name |
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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.
| 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 Incidental Death Benefit 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 |
| 1117 | Change of Address |
| 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 |
| 4257 | Certification of Nonexistent Trust (All Systems) |
| 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 |
| 6501 | Employer Resolution And Application (SCRS) |
| 6501P | Employer Resolution And Application (PORS) |
| 6502 | Application to Append Coverage for Incidental Death Benefit (SCRS) |
| 6502P | Application to Append Coverage for Incidental Death Benefit, Accidental Death Program And/Or Firefighters Coverage (PORS) |
| 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) |
| 7201G | Retired Member Change of Beneficiary Form (GARS) |
| 7202 | Withholding Certificate for Monthly Benefit Payments |
| 7204 | Electronic Funds Transfer Authorization |
| 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 |
