Forms

Throughout your career as an active member, you may need to submit forms related to your SCERS membership or future retirement benefit. This page includes commonly used forms for maintaining your account, planning ahead, or taking important benefit-related actions.

Form # Title Category Type
6302a Dissolution of Marriage Guidelines (with Legal) Active Members, Deferred Members PDF
6019 Member’s Affidavit All Member Types PDF
6205 Disability Retirement Application and Instructions Active Members, Deferred Members PDF
6022 Special Durable Power of Attorney Active Members, Deferred Members, Retired Members PDF
6154 Disposition of Accrued Sick Leave Active Members, Deferred Members PDF
6190 Tax Withholding All Member Types PDF
6186 Authorization for Direct Deposit All Member Types PDF
6601 Request for Informational Letter or Document All Member Types PDF
SF-180 Request Pertaining to Military Records Active Members, Deferred Members PDF
6501 Certification of Lack of Eligibility Active Members, Deferred Members PDF
6403a Certification of Public Service Active Members, Deferred Members PDF
6401 Request for Service Purchase Calculation Active Members, Deferred Members PDF
6019x Supplemental Beneficiary Designation Form All Member Types PDF
6105 Application for Service Retirement Active Members, Deferred Members PDF