STATE OF SOUTH CAROLINA	)	IN THE FAMILY COURT
)	JUDICIAL CIRCUIT
COUNTY OF	)
)
)
)	REQUEST FOR HEARING
Plaintiff,	)
vs.	)
)
)
Defendant.	)	Docket No.
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 Unavailable:

Child Custody at Issue:	Yes	No

Are Other Issues Contested	Yes	No	If yes, explain:

If yes to either above, submit a mediation report.

Comments and Issues:

Hearing Requested by:	Date:

For:	Plaintiff	Defendant

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

The hearing in this matter is scheduled for day of 20 ,at (time)

a.m./p.m., Courtroom , before the Honorable for (length of time).

SCCA 410 (12/2009)

FFOR061 - Summons

2010-03-03