Fill and Sign the State of South Carolina in the Family Court Judicial Form

STATE OF SOUTH CAROLINA ) ) IN THE FAMILY COURT COUNTY OF ) ) ) Plaintiff, ) REQUEST FOR HEARING ) vs. ) CASE # ) ) Defendant. ) ) Attorney for Plaintiff: Office Address: Telephone: Fax: E-Mail Address: Attorney for Defendant: Office Address: Telephone: Fax: E-Mail Address: GAL: Office Address: Telephone: Fax: E-mail Address: TYPE CASE: TIME NEEDED: Is custody contested: ( ) YES ( ) NO If yes, add GAL information above Are other issues contested? ( ) YES ( ) NO If yes to either of the above, submit The Report of Mediator or Order Appointing Mediator. Comments: Hearing Requested By: Date: For: ( ) Plaintiff ( ) Defendant Dates & Time Unavailable: SCADR 106A (5/2007)                                                                                                               COUNTY FAMILY COURT: FOR COURT USE ONLY HEARING NOTICE BY FAX PURSUANT TO YOUR REQUEST, THE ABOVE MATTER HAS BEEN SET FOR A HEARING ON at JUDGE: TIME ALLOTTED: SCADR 106B (5/2007)