STATE OF SOUTH CAROLINA ) IN THE FAMILY COURT ) JUDICIAL CIRCUIT COUNTY OF ___________________________ ) ) ) Plaintiff, ) FAMILY COURT COVERSHEET vs. ) ) ) Defendant. ) Docket No. _____________________________ 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 docketing purposes for the Clerk of Court and must be signed and dated, and filled out completely. A copy of this coversheet must be served on the defendant(s) along with the Summons and Complaint. Submitted by: Address: Email: _____________________________ _____________________________ _____________________________ _____________________________ SC Bar # Telephone # Fax # Other: ______________________________ ______________________________ ______________________________ ______________________________ 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 Codes (Check One) Marital Dissolution Divorce (110) Annulment (120) Separate Support and Maintenance (130) Registration of Foreign Divorce Decree ­ without support/custody (190) Registration of Foreign Divorce Decree ­ with support/custody (191) Marital Dissolution ­ Other (199) _____________________ Support Child Support ­ Private (501) Child Support ­ Administrative Process (502) Child Support ­ Judicial Process (503) Registration of Foreign Order of Support (504) UIFSA ­ Outgoing (505) UIFSA ­ Incoming (506) Modification of Child Support ­ Private (507) Modification of Child Support ­ DSS (508) Modification of Alimony (525) College Expenses (530) Support ­ Other (599) ______________________ Custody/Visitation Child Custody/Visitation (610) Modification of Custody/Visitation (615) Registration of Foreign Child Custody Order (690) Custody/Visitation ­ 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 ­ Private (761) Paternity ­ DSS (762) Termination of Parental Rights ­ Private (771) Termination of Parental Rights ­ DSS (772) Miscellaneous Actions ­ Others (799) _____________ Abuse and Neglect Abuse and Neglect ­ Child (210) Abuse and Neglect ­ Adult (220) Abuse and Neglect ­ Other (299) ______________________ Juvenile Delinquency Truancy (311) Incorrigible (312) Runaway (313) Criminal Offense (320) Juvenile Delinquency ­ Other (399) ____________________ Protection from Domestic Abuse Domestic Abuse ­ Intimate Partner (410) Domestic Abuse ­ Minor (420) Registration of Foreign Order of Protection (490) Domestic Abuse ­ Other (499) _______________________ Submitting Party Signature: ____________________________________ Date: _________________________ Custodial Parent (if applicable): Note: Frivolous civil proceedings are subject to sanctions pursuant to Rule 11, SCRCP and the South Carolina Frivolous Civil Proceedings Sanctions Act, S.C. Code Ann. § 15-36-10 et seq. SCCA 467 (12/2015) American LegalNet, Inc. www.FormsWorkFlow.com Effective January 1, 2016, family court actions in all counties are subject to mediation. Under the provisions of the Supreme Court's Rules for Alternative Dispute Resolution (ADR), mediation is defined as [an] informal process in which a third-party mediator facilitates settlement discussions between parties. Any settlement is voluntary. In the absence of settlement, the parties lose none of their rights to trial. Also under the ADR Rules, the parties may agree on a mediator or the Clerk of Court will appoint a mediator from the certified list. If the Clerk appoints a mediator from the list, the mediator will be certified by the Board of Arbitrator and Mediator Certification and may be either a lawyer, a licensed mental health professional or any other individual meeting the certification requirements. Whether or not the mediator is a lawyer, if appointed by the court, the charge per hour is set at a specified amount under the provisions of ADR Rule 9. Parties are responsible for payment of the mediator as set out in ADR Rule 9. SUPREME COURT RULES REQUIRE MEDIATION OF ALL CONTESTED DOMESTIC RELATIONS ACTIONS. IF THE DOCKETING INFORMATION ON PAGE 1 OF THIS COVERSHEET 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 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 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. Note: Frivolous civil proceedings are subject to sanctions pursuant to Rule 11, SCRCP and the South Carolina Frivolous Civil Proceedings Sanctions Act, S.C. Code Ann. § 15-36-10 et seq. SCCA 467 (12/2015) American LegalNet, Inc. www.FormsWorkFlow.com