SCCA / 234 (02/2018) Page 1 of 2 STATE OF SOUTH CAROLINA ) ) IN THE COURT OF COMMON PLEAS COUNTY OF ) ) ) CIVIL ACTION COVERSHEET Plaintiff(s) ) ) - CP - - vs. ) ) ) Defendant(s) ) Submitted By: Address: SC Bar #: Telephone #: Fax #: Other: E - mail: NOTE: The coversheet 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 f or the purpose of docketing cases that are NOT E - Filed . It must be filled out completely, signed, and dated. A copy of this coversheet must be served on the defendant(s) along with the Summons and Complaint. This form is NOT required to be filed in E - Filed Cases . DOCKETI NG INFORMATION ( Check all that apply) * If Action is Judgment/Settlement do not complete JURY TRIAL demanded in complaint. NON - JURY TRIAL demanded in complaint. This case is subject to ARBITRATION pursuant to the C ourt Annexed Alternat ive D ispute Resolution Rules. This case is subject to MEDIATION pursuant to the C ourt Annexed Alternative Dispute Resolution Rules. This case is exe mpt from ADR. (Proof of ADR/Exemption Attached) NATURE OF ACTION ( Check One Box Below) Contracts Torts - Professional Malpractice Torts Personal Injury Real Property Constructions (100) Dental Malpractice (200) Conversion (310) Claim & Delivery (400) Debt Collection (110) Legal Malpractice (210) Motor Vehicle Accident (320) Condemnation (410) General (130) Medica l Malpractice (220) Premises Liability (330) Foreclosure (420) Breach of Contract (140) Previous Notice of Intent Case # 20 - NI - - Products Liability (340) Fraud/Bad Faith (150) Personal Injury (350) Partition (440) Failure to Deliver/ Warranty (160) Notice/ File Med Mal (230) Wrongful Death (360) Possession (450) Other (2 99) Assault/Battery (370) Building Code Violation (460) Employment Discrim (17 0) Slander /Libel (380) Other (499) Employment (18 0) Other (399) Other (199) Inmate Petitions Administrative Law/Relief Judgments/Settlements Appeals PCR (500) Reinstate Drv. License (800) ((800 (800) Death Settlement (700) Arbitration (900) Mandamus (520) Judicial Review (810) Foreign Judgment (710) Magistrate - Civil (910) Habeas Corpus (530) Relief (820) Magist rate - Criminal (920) Other (599) Permanent Injunction (830) Minor Settlement (730) Municipal (930) Forfeiture - Petition (840) Transcript Judgment (740) Probate Court (940) Forfeiture Consent Order (850) Lis Pendens (750) SCDOT (950) Other (899) Transfer of Structured Settlement Payment Rights Application (760) Zoning Board (970) Public Service Comm. (990) Special/Complex /Other Confession of Judgment (770) Employment Security Comm (991) Environmental (600) Pharmaceuticals (630) Petition for Workers Comp ensation Settlement A pproval (780) Automobile Arb. (610) Unfair Trade Practices (640) Other (999) Medical (620) Out - of State Depositions (650) Incapacitated Adult Settlement (790) Other (699) Motion to Quash Subpoena in an Out - of - County Action (660) Other (799) Sexual Predator (510) Pre - Suit Discovery (670) Permanent Restraining Order (680) Interpleader (690) Submitting Party Signature: Date: Note: Frivolous civil proceedings may be subject to sanctions pursuant to SCRCP, Rule 11, and the South Carolina Frivolous Civil Proceedings Sanctions Act, S.C. Code Ann. 24715 - 36 - 10 et. seq. American LegalNet, Inc. www.FormsWorkFlow.com SCCA / 234 (02/2018) Page 2 of 2 Effective January 1, 2016, Alternative Dispute Resolution (ADR) is mandatory in all counties, pursuant to Supreme Court Order dated November 12, 2015. SUPREME COURT RULES REQUIRE THE SUBMISSION OF ALL CIVIL CASES TO AN ALTERNATIVE DISPUTE RESOLUTION PROCESS, UNLESS OTHERWISE EXEMPT. Pursuant to the ADR Rules, you are required to take the following action(s): 1. The parties shall select a neutral and file 210th day of the filing of this action. If the parties have not selected a neutral within 210 days, the Clerk of Court shall then appoint a primary and secondary mediator from the current roster on a rotating basis from among those mediators agreeing to accept cases in the county in which the action has been filed. 2. The initial ADR conference must be held within 300 days after the filing of the action. 3. Pre-suit medical malpractice mediations required by S.C. Code 24715-79-125 shall be held not later than 120 4. Cases are exempt from ADR only upon the following grounds: a. Special proceeding, or actions seeking extraordinary relief such as mandamus, habeas corpus, or prohibition; b. Requests for temporary relief; c. Appeals d. Post Conviction relief matters; e. Contempt of Court proceedings; f. Forfeiture proceedings brought by governmental entities; g. Mortgage foreclosures; and h. Cases that have been previously subjected to an ADR conference, unless otherwise required by Rule 3 or by statute. 5. In cases not subject to ADR, the Chief Judge for Administrative Purposes, upon the motion of the court or of any party, may order a case to mediation. 6. Motion of a party to be exempt from payment of neutral fees due to indigency should be filed with the Court within ten (10) days after the ADR conference has been concluded. Please Note: You must comply with the Supreme Court Rules regarding ADR. Failure to do so may affect your case or may result in sanctions. American LegalNet, Inc. www.FormsWorkFlow.com