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Fill and Sign the Certificate of Exemption Civil Ampamp Family Adr Form

Fill and Sign the Certificate of Exemption Civil Ampamp Family Adr Form

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SCRFCMFORM02 ( 12/20 15 ) I certify that this action is exempt from mediation based on the following: An agreement has been reached among all parties on every issue. This is a contempt action. This is a family court case initiated by South Carolina Department of Social Services All contested issues have been previously subjected to an ADR conference meeting the requirements of the ADR Rules (Proof of ADR must be attached). Submitting Party Signature: _____________________________________ Date: _____ ____________ Print Name: ___________________________________ Attorney for Plaintiff Defendant or Self Represented Litigant SC Bar # (if applicable): _______________ STATE OF SOUTH CAROLINA ) IN THE FAMILY COURT ) JUDICIAL CIRCUIT COUNTY OF ) ) ) ) CERTIFICATE OF Plaintiff, ) EXEMPTION vs. ) ) ) Defendant. ) Docket No . _______________________________

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