Form Scca / 234 - Civil Action Coversheet
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2STATE OF SOUTH CAROLINA
)
)
IN THE COURT OF COMMON PLEAS
COUNTY OF ____________________________
)
)
_________________________________________
)
CIVIL ACTION COVERSHEET
Plaintiff(s) )
)
CP - ____-
_________-
____________
vs.
)
)
_________________________________________
)
Defendant(s) )
___________________________________
SC Bar #:_________________________________
Submitted By:
Telephone #:______________________________
Address: ___________________________________________
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 for the purpose of docketing. 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.
(
DOCKETING 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 Court Annexed Alternative Dispute Resolution Rules.
This case is subject to MEDIATION pursuant to the Court Annexed Alternative Dispute Resolution Rules.
This case is exempt from ADR. (Proof of ADR/Exemption Attached)
NATURE OF ACTION
(Check One Box Below)
Torts – Personal Injury
Contracts
Torts - Professional Malpractice
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)
Medical Malpractice (220)
Premises Liability (330)
Foreclosure (420)
Mechanic’s Lien (430)
Breach of Contract (140)
Previous Notice of Intent Case #
Products Liability (340)
20____-NI-_____-_____________
Fraud/Bad Faith (150)
Personal Injury (350)
Partition (440)
Failure to Deliver/
Notice/ File Med Mal (230)
Wrongful Death (360)
Possession (450)
Warranty (160)
Assault/Battery (370)
Building Code Violation (460)
__________
Other (299)
Employment Discrim (170)
Slander/Libel (380)
___________
Other (499)
Employment (180)
Other (399) _______________
Other (199)____________
Inmate Petitions
Administrative Law/Relief
Judgments/Settlements
Appeals
PCR (500)
Reinstate Drv. License (800)
Death Settlement (700)
Arbitration (900)
((800(800)
Mandamus (520)
Judicial Review (810)
Foreign Judgment (710)
Magistrate-Civil (910)
Magistrate’s Judgment (720)
Habeas Corpus (530)
Relief (820)
Magistrate-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)
Worker’s Comp (960)
Other (899)
Transfer of Structured
Settlement Payment Rights
___________________
Zoning Board (970)
Application (760)
Public Service Comm. (990)
Special/Complex /Other
Confession of Judgment (770)
Employment Security Comm (991)
Environmental (600)
Pharmaceuticals (630)
Petition for Workers
Compensation Settlement
Automobile Arb. (610)
Unfair Trade Practices (640)
Other (999)
Approval (780)
Medical (620)
Out-of State Depositions (650)
Other (799)
____________________________
Other (699) __________
Motion to Quash Subpoena in an
__________________
Out-of-County Action (660)
Sexual Predator (510)
Pre-Suit Discovery (670)
Permanent Restraining Order (680)
Date: _________________
__________________________
Submitting Party Signature:
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. §15-36-10 et. seq.
SCCA / 234 (03/2016)
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