Service Credit at
Retirement:
I understand that the estimate of retirement benefits I will receive is only a projection based on the information I
have provided. I further understand that receipt of the benefit estimate does not qualify me for retirement, does
not change any beneficiary(ies) I have previously designated, and does not certify my date of retirement, retire-
ment service credit, or average final compensation. I am fully aware that I should not leave employment based
on the uncertified information contained in this estimate.
Average Final
Compensation:
OR
Current Salary:
Average final compensation (AFC) is the average of your 12 highest
consecutive quarters of earnings (Jan.-Mar., Apr.-Jun.,Jul.-Sep., Oct.-
Dec.). You may use your current salary if your estimated date of
retirement is at least three years away. To receive a conservative estimate of
benefits, please do not include final annual leave payments in your AFC.
PROJECTED BENEFICIARY INFORMATION
Please change my official address to the one given above, and send the benefit estimate to that address.
Do not change my official address, but send the benefit estimate to the address given above.
To obtain an estimate of your monthly retirement benefits, please complete this request form and return it to the address
listed above. This form cannot be used as an application for benefits. A separate retirement application is required.
PROJECTED RETIREMENT INFORMATION
Estimated Date of
Retirement:
Choose one:
Estate
(proceed to Section III)
Beneficiary(ies)
(complete information at right)
You may obtain a benefit estimate by calling SC Retirement Systems Customer Service at (800) 868-9002 (in state) or (803) 737-6800
Check here if listing more than six beneficiaries. Please list additional beneficiaries on the back of this form.
REQUEST FOR RETIREMENT BENEFIT ESTIMATE
SC Public Employee Benefit Authority
South Carolina Retirement Systems
Box 11960, Columbia, SC 29211-1960
ATTENTION: CUSTOMER ANNUITY CLAIMS
Form 6100
Revised 4/20/2016
Print or type in black ink