Form Scca 467 - Family Court Coversheet - 2011
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2STATE 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:
___________________________
SC Bar #
____________________________
___________________________
____________________________
Address:
Telephone #
___________________________
____________________________
Fax #
Email:
___________________________
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
Support
Child Support – Private (501)
Divorce (110)
Child Support – Administrative Process (502)
Annulment (120)
Child Support – Judicial Process (503)
Separate Support and Maintenance (130)
Registration of Foreign Divorce Decree – without support/custody (190)
Registration of Foreign Order of Support (504)
Registration of Foreign Divorce Decree – with support/custody (191)
UIFSA – Outgoing (505)
Marital Dissolution – Other (199) __________________________
UIFSA – Incoming (506)
Modification of Child Support – Private (507)
Modification of Child Support – DSS (508)
Abuse and Neglect
Modification of Alimony (525)
Abuse and Neglect – Child (210)
College Expenses (530)
Abuse and Neglect – Adult (220)
Support – Other (599) ________________________________
Abuse and Neglect – Other (299) ___________________________
Custody/Visitation
Child Custody/Visitation (610)
Juvenile Delinquency
Modification of Custody/Visitation (615)
Truancy (311)
Registration of Foreign Child Custody Order (690)
Custody/Visitation – Other (699) _____________________
Incorrigible (312)
Runaway (313)
Criminal Offense (320)
Miscellaneous Actions
Juvenile Delinquency – Other (399) _________________________
Name Change (710)
Correction/Birth Record (720)
Judicial Bypass (730)
Adoption (740)
Protection from Domestic Abuse
Foreign Adoption (741)
Domestic Abuse – Intimate Partner (410)
Post Dissolution Equitable Distribution (750)
Domestic Abuse – Minor (420)
Paternity – Private (761)
Paternity – DSS (762)
Registration of Foreign Order of Protection (490)
Domestic Abuse – Other (499) ____________________________
Termination of Parental Rights – Private (771)
Termination of Parental Rights – DSS (772)
Miscellaneous Actions – Others (799) __________________
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 (6/2011)
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