South Carolina Request For Hearing Form

You are required to complete the following form accurately. If your answer is yes to child custody at issue and other issues contested, you have to file a mediation report.

Extracted Text for Proper Search

SCCA 410 (1	2/2009)	 	
 
Plaintiff’s Attorney:	 	____________________________________________________________	 	
Mailing Address:	 	____________________________________________________________	 	
Telephone:	 	 	___________________  ext. _	________________  Fax: ______________	 	
Email:	  	 	____________________________________________________________	 	
Defendant’s Attorney:____________________________________________________________	 	
Mailing Address:	 	_________________________________________________	___________	 	
Telephone:	 	 	___________________  ext. _________________  Fax: ______________	 	
Email:	  	 	____________________________________________________________	 	
Guardian ad Litem:	 	____________________________________________________________	 	
Mailing Address:	 	____________________________________________________________	 	
Telephone:	 	 	___________________  ext. _________________  Fax: ______________	 	
Email:	  	 	____________________________________________________________	 	
Type of Hearing:	 	____________________________________________________________	 	
Time Needed:	  	____________________________________________________________	 	
Dates and Times Unav	ailable: __________________________	___________________________	 	
Child Custody at Issue:	 	 	 Yes	  	 No	 	
Are Other Issues Contested	 	 	 Yes	  	 No	  	If yes, explain: ___________	 	
______________________________________________________________________________	 	
If y	es to either above, submit a mediation report.	 	
Comments and Issues:	  	______________________________________________________	 	
Hearing Requested by: __________________________	 Date: _____________________, 20___	 	
For:	 	 	 	 Plaintiff	 	 	 	 	 	 Defendant	  	 	
****Section below to be completed by Clerk of Court. ****	 	
The 	hearing in this matter is 	scheduled for ____ day of ___________________20	___	, at ___:___ 	
a.m./p.m., Courtroom _______________________, before the Honorable 
_________________________________	 for ____________________________ (length of time)	. 	
STATE OF SOUTH CAROLINA	 	) 	IN THE FAMILY COURT  	 	
 	) 	_____	JUDICIAL CIRCUIT	 	
COUNTY  OF	 ___________________________	 	) 	 	
 	) 	 	
 	) 	 	
 	) 	REQUEST FOR HEARING	 	
Plaintiff,	 	) 	 	
vs.	 	) 	 	
 	) 	 	
 	) 	 	
Defendant.	 	) 	Docket No	. __	___________________________