CSS2HTML: WEB1286.XDP

Form 1286
Revised 8/1/2016
 

The above-referenced employer is hereby authorized to make payments of certain amounts due to the South Carolina Retirement Systems through the EES Retirement Electronic Payments system. 

 

We understand that it is our responsibility to make sure that funds are available for payments made through the system, that payments are made before the applicable due date, and that all necessary bank information for making the electronic payments is kept current.

 

We also understand that, if for any reason an electronic payment made through the system is not successful, we are still responsible for making the required payment to the South Carolina Retirement Systems when due.

 

This authorization is to remain in full force and effect until the South Carolina Retirement Systems has received written notification from us of its termination in such time and in such manner as to afford the South Carolina Retirement Systems a reasonable opportunity to act on it.

Employer name: 

Employer code:

(Please print)

Title:

Date:

Authorization Agreement for Participation in

EES Retirement Electronic Payments

SC Public Employee Benefit Authority

202 Arbor Lake Drive

Columbia, SC  29223

Contact name:

Authorized signature:

Telephone number: