Free STATE OF SOUTH CAROLINA - South Carolina

STATE OF SOUTH CAROLINA

) ) COUNTY OF ________________________ ) ) ) Plaintiff(s) ) ) vs. ) ) ) Defendant(s) ) (Please Print) Submitted By: Address:

IN THE FAMILY COURT

FAMILY COURT COVERSHEET - DR -

SC Bar #: Telephone #: Fax #: Other: E-mail:

NOTE: The cover sheet and information contained herein neither replaces nor supplements the filing and service of pleadings or other papers as required by law. This form is required for the use of the Clerk of Court for the purpose of docketing. It must be filled out completely, signed, and dated. A copy of this cover sheet must be served on the defendant(s) along with the Summons and Comp laint.

DOCKETING INFORMATION (Check one box below if filing in a Mandatory Mediation County)
This case is subject to MEDIATION pursuant to the Family Court Alternative Dispute Resolution Rules. This case is exempt from ADR (certificate attached).
NATURE OF ACTION (Check One Box Below)
Marital Dissolution Divorce (110) Annulment (120) Sep. Support & Maintenance (130) Reg. Foreign Decree of Divorce (190) Other (199) __________________ Abuse and Neglect Child Protective Services (210) Adult Protective Services (220) Other (299) ___________________________ Juvenile Delinquency Status Offense (310) Criminal Offense (320) Other (399) ____________________ _ Protection from Domestic Abuse Intimate Partner (410) Minor (420) Reg. Foreign Order (490) Other (499) _______________________

Support Child Support (510) DSS Child Support (511) Mod of Child Support (515) Mod of Alimony (525) College Expenses (530) Other (599) __________________

Custody/Visitation Child Custody/Visitation (610) Mod. Of Custody/Visitation (615) Reg. Foreign Child Custody Order (690) Other (699) ___________________________

Miscellaneous Actions Name Change (710) Correction/Birth Record (720) Judicial Bypass (730) Adoption (740) Foreign Adoption (741) Post Dissolution Equitable Distribution (750) Paternity (760) Termination of Parental Rights (770) Other (799) ______________________________

Submitting Party Signature: ________________________________________
Frivolous Civil Proceedings Sanctions Act, S.C. Code Ann. §15-36-10 et. seq.

Date: ____________________

Note: Frivolous civil proceedings may be subject to sanctions pursuant to SCRCP, Rule 11, and the South Carolina

SCCA 467 (11/06)

FOR MANDATED ADR COUNTIES ONLY Allendale, Anderson, Beaufort, Colleton, Florence, Greenville, Hampton, Horry, Jasper, Lexington, Richland, and Pickens (Family Court Only) SUPREME COURT RULES REQUIRE MEDIATION OF ALL CONTESTED DOMESTIC RELATIONS ACTIONS. IF THE DOCKETING INFORMATION ON THE REVERSE SIDE OF THIS COVER SHEET INDICATES THAT THIS CASE IS SUBJECT TO MEDIATION YOU ARE NOTIFIED THAT MEDIATED SETTLEMENT CONFERENCES ARE REQUIRED IN THIS CASE, AND THAT THE COURT-ANNEXED ADR RULES SHALL APPLY TO ALL CASES IN WHICH MEDIATION IS REQUIRED. FOR ADDITIONAL INFORMATION CONCERNING THE PROCESS AND TIME FRAMES, PLEASE CONSULT THE ADR RULES. KEY SECTIONS OF THE RULES ARE IDENTIFIED BELOW. CONTESTED ACTIONS INVOLVING CUSTODY AND VISITATION: Rule 3 Rule 4(d)(1)(3)(4)&(5) Rule 5(g) Rule 6(g) Rule 7(f) Rule 9 Actions Subject to ADR Appointment of Mediator by Family Court Scheduling in Family Court Agreement in Family Court Reporting Results of Conference Compensation of Neutral

ALL OTHER CONTESTED ACTIONS: Rule 3 Rule 4(d)(2)(3)(4)&(5) Rule 5(g) Rule 6(g) Rule 7(f) Rule 9 Actions Subject to ADR Appointment of Mediator by Family Court Scheduling in Family Court Agreement in Family Court Reporting Results of Conference Compensation of Neutral

Indigent Cases. Where a mediator has been appointed, a party may move before the Chief Judge for Administrative Purposes to be exempted from payment of neutral fees and expenses based upon indigency. Applications for indigency shall be filed no later than ten (10) days after the ADR conference has been concluded. Determination of indigency shall be in the sole discretion of the Chief Judge for Administrative Purposes. Please Note: Attendance at mediated settlement conferences is mandatory. You must comply with the Supreme Court rules regarding court-ordered mediation. Failure to do so may affect your case and may result in sanctions.

SCCA 467 (11/06)