Proof Of Adr Or Exemption
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1
2STATE OF SOUTH CAROLINA
)
IN THE COURT OF COMMON PLEAS
)
COUNTY OF _______________________
)
)
PROOF OF ADR OR EXEMPTION
)
Plaintiff,
)
)
vs.
)
FILE NO.:
)
)
Defendant.
)
)
(An original and copy of this form is to be completed and filed with the Office of the Clerk of Court and a
copy forwarded to the attorneys for the parties within 10 days of the conclusion of ADR, or within 300
days of the filing date of the action, whichever is earlier.)
PURSUANT to the South Carolina Alternative Dispute Resolution Rules (SCADR):
A.
I certify that this case is exempt from ADR for the following reason and the
parties wish to exercise that exemption:
Plaintiff/Attorney for Plaintiff
Defendant/Attorney for Defendant
Print Name
Print Name
Phone/Fax
Phone/Fax
Date:
B.
1. Alternative Dispute Resolution (ADR) was conducted in the form of:
(Note:
If binding arbitration has been chosen by the parties but not yet
completed, an appropriate order of dismissal must be attached hereto.)
2.
The neutral(s) was/were: (Name of arbitrator/mediator):
3.
The ADR was conducted on
, 20
SCADR 104A (11/2012)
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