STATE OF SOUTH CAROLINA	)	IN THE FAMILY COURT
)	JUDICIAL CIRCUIT
COUNTY OF	)
)
)
)	REQUEST FOR HEARING
Plaintiff,	)	(Child Support Modification)
vs.	)
)
)
Defendant.	)	Docket No.

Plaintiff or Attorney for Plaintiff:
Address:

Home Phone:	Cell Phone:
Other Contact Phone:	Email:

Defendant or Attorney for Defendant:
Address:

Home Phone:	Cell Phone:
Other Contact Phone:	Email:

Contested: Yes No	Child Custody Issue: Yes No

Amount of Time Requested: 30 minutes

Dates / Times the Plaintiff and/or Defendant is/are UNAVAILABLE (exclude weekends and holidays): See Attached list(s)

Hearing Requested By: PLAINTIFF	DEFENDANT

COMMENTS / ISSUES:

Date: _______________________ , 20_____.	____________________________________

_____________________________, S.C.	Signature

****Section below to be completed by Clerk of Court. ****

The Final Hearing in this matter is scheduled for ____ day of ___________________20_____, at ___:___ a.m./ p.m., Courtroom _______________________, before the Honorable ________________________________.

SCCA 400.26 SRL-CSM (8/2012)

Indigent Form Request for Hearing (00025036).DOC

Jackie.Wood

2012-08-21

Cody Lidge