The Supreme Court of South Carolina CERTIFICATE This certificate is to be used to show completion of the observation of the three contested custody merits hearings required by the South Carolina Private Guardian ad Litem Reform Act, S. C. Code Ann. Section 63-3-820, effective January 15, 2003. Under this Act, a lay Guardian ad Litem must observe three contested custody merits hearings prior to serving as a Guardian ad Litem. The lay Guardian ad Litem must maintain this certificate. FAMILY COURT CASES 1. Case Name: _______________________ County: ___________________________ Date: ___________________________ ATTEST: _____________________ Name of Judge: _____________________ Signature of Judge 2. Case Name: _______________________ County: ___________________________ Date: ___________________________ ATTEST: _____________________ Name of Judge: _____________________ Signature of Judge 3. Case Name: _______________________ County: ___________________________ Date: ___________________________ ATTEST: _____________________ Name of Judge: _____________________ Signature of Judge I hereby certify that I have observed the above contested merits hearings in accordance with Section 63-3-820. Sworn to before me this ______ day of _______________, 20___ Notary Public for South Carolina My Commission expires ___________, 20___ Signature of Affiant SCCA 473 (12/2009) American LegalNet, Inc. www.FormsWorkFlow.com