Free Acrobat - South Carolina

STATE OF SOUTH CAROLINA

) ) ) In the matter of Arbitration between ) ) ) ) Claimant(s) ) ) ) vs. ) ) Defendant(s) )

BEFORE THE ARBITRATION PANEL OF ____________________ COUNTY

Case number ____-CP-____-______

AGREEMENT

Pursuant to the South Carolina Automobile Reparation Reform Act of 1974, §38-77-710, et seq., as amended, the undersigned hereby request and agree that the arbitration of a property damage claim between ___________________, and ___________________, Defendant(s) arising out of a motor vehicle collision or accident shall be had before a single arbitrator to be designated and appointed by the Clerk of Court for __________________ County, in lieu of a panel of three arbitrators, all as provided under S.C. Code Ann. § 38-77-720. IN WITNESS WHEREOF, we have hereunto set our hands and seals this _____day of ___________, ______.

___________________________________ Claimant __________________________________ Defendant ___________________________________ Defendant

SCCA/205(3/2005)