CSS2HTML: WEB7220.XDP

PORS Increased Earnings Limitation Certification
SC Public Employee Benefit Authority

202 Arbor Lake Drive

Columbia, SC 29223

Employee name

Social Security number

Employer name

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 7220
Revised 8/17/2026
Sign in blue or black ink

Authorized representative (printed name)

PORS date of retirement

As an authorized representative of the employer listed above, I certify the information listed for the above-referenced retired

PORS member is complete and accurate.

Authorized representative (signature)

Title/position

Date

EMPLOYEE INFORMATION

Employer code

PORS EMPLOYER INFORMATION AT RETIREMENT

Employer name

Please contact PEBA's Customer Service with any questions at 803.737.6800, 888.260.9430 or peba.sc.gov.

Authorized representative (printed name)

Authorized representative (signature)

Title/position

Date

Employee's hire date

As an authorized representative of the employer listed above, I certify the information listed for the above-referenced retired

PORS member is complete and accurate.

POST-RETIREMENT PORS EMPLOYER INFORMATION

Employee's position title at retirement

Employer code

Beginning on July 1, 2026, pursuant to the following proviso in the 2026-2027 General Appropriations Act:


For compensation earned during the 2026-2027 fiscal year, a retired member of the Police Officers Retirement System (PORS), who

has been retired for at least ninety consecutive calendar days, may be hired and return to employment covered by PORS. Such a

member may earn up to eighty thousand dollars annually without affecting the monthly retirement allowance received from PORS.

However, if a law enforcement officer holds a supervisory rank at the time of retirement, he shall not be eligible to return to a

supervisory position pursuant to the requirements of this proviso. Returning to covered employment does not accrue additional service

credit.

AUTHORIZATIONS

For law enforcement officers only

What was the employee's rank at retirement?

Does that rank have supervisory responsibilities in your organization?

Employee's position title

Employee's expected annual compensation

For law enforcement officers only

What is the employee's current rank?

Does the employee have supervisory responsibilities in this position?