Agreement - State Of South Carolina Arbitration Panel

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STATE OF SOUTH CAROLINA
)
BEFORE THE ARBITRATION PANEL OF
)
____________________ COUNTY
In the matter of Arbitration between
)
)
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Case number ____-CP-____-______
)
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Claimant(s)
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AGREEMENT
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vs.
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)
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Defendant(s)
)
Pursuant to the South Carolina Automobile Reparation Reform Act of 1974, §38-77-710,
et seq., as amended, the undersigned hereby request and agree that the arbitration of a property
damage claim between ___________________, and ___________________, Defendant(s) arising
out of a motor vehicle collision or accident shall be had before a single arbitrator to be designated
and appointed by the Clerk of Court for __________________ County, in lieu of a panel of three
arbitrators, all as provided under S.C. Code Ann. § 38-77-720.
IN WITNESS WHEREOF, we have hereunto set our hands and seals this _____day of
___________, ______.
___________________________________
Claimant
__________________________________
Defendant
___________________________________
Defendant
SCCA/205(3/2005)

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