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Get Resignation Form - South Carolina Workers' Compensation ... - Wcc Sc

Reasons Relocation Regular Retirement Other (specify): The effective date of my resignation will be , 20 at AM/PM. I request that I be paid for annual leave. I request that my annual and sick leave be transferred to the following agency: I request that my sick leave be transferred to the following school district: I wish to withdraw my retirement contributions. Attached is a completed Form (4101), South Carolina Retirement Systems Refund Request and a legible copy of my Driver s Licen.

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