Family Court Coversheet Template - South Carolina Secretary Of State

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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:
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)
Modification of Custody/Visitation (615)
Juvenile Delinquency
Temporary Custody – Nonparent (616)
Truancy (311)
Incorrigible (312)
Registration of Foreign Child Custody Order (690)
Custody/Visitation – Other (699)
Runaway (313
Criminal Offense – Drug (315)
Criminal Offense – Against a Person (316)
Miscellaneous Actions
Criminal Offense – Property (317)
Name Change (710)
Criminal Offense – Public Order (318)
Correction/Birth Record (720)
Criminal Offense – Other (320)
Judicial Bypass (730)
Juvenile Delinquency – Other (399)
Adoption (740)
Foreign Adoption (741)
Post Dissolution Equitable Distribution (750)
Paternity – Private (761)
Paternity – DSS (762)
Protection from Domestic Abuse
Domestic Abuse – Intimate Partner (410)
Termination of Parental Rights – Private (771)
Domestic Abuse – Minor (420)
Termination of Parental Rights – DSS (772)
Miscellaneous Actions – Others (799)
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)

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