As an authorized representative of the public school district listed above, I certify the above-referenced retired member is
employed as a bus driver for the school district in the current school year.
School Bus Driver Exemption Certification
SC Public Employee Benefit Authority
202 Arbor Lake Drive
Columbia, SC 29223
THE LANGUAGE USED IN THIS DOCUMENT DOES NOT CREATE ANY CONTRACTUAL RIGHTS OR ENTITLEMENTS AND DOES NOT CREATE A CONTRACT BETWEEN THE MEMBER AND THE SOUTH CAROLINA PUBLIC EMPLOYEE BENEFIT AUTHORITY. THE SOUTH CAROLINA PUBLIC EMPLOYEE BENEFIT AUTHORITY RESERVES THE RIGHT TO REVISE THE CONTENT OF THIS DOCUMENT.
Form 7219
Revised 8/17/2026
Sign in blue or black ink
Authorized representative (printed name)
Authorized representative (signature)
Please contact PEBA's Customer Service with any questions at 803.737.6800, 888.260.9430 or peba.sc.gov.
For compensation earned during the 2026-2027 fiscal year, the earnings limitation does not apply to a retired member of the South
Carolina Retirement System or the Police Officers Retirement System who is hired by a public school district as a school bus driver.
Beginning on July 1, 2026, pursuant to the following proviso in the General Appropriations Act:
SCHOOL DISTRICT INFORMATION
Employee's position title
School district employer code
Employee's expected annual compensation