STATE OF SOUTH CAROLINA	)
)
COUNTY OF	)	IN THE PROBATE COURT
)	CASE NUMBER: - - -
)
)
IN THE MATTER OF:	)	WAIVER OF IN-PERSON COURT
)	APPEARANCE AND
(An alleged incapacitated individual)	)	CONSENT TO VIDEO/AUDIOCONFERENCING

I have been advised that I have the legal right to personally appear in the Probate Court in

County, and I understand this right. I give up and waive this right to personally appear in court and consent to appear in court by use of video/audioconferencing.

I acknowledge that I want to handle the following matter by video/audioconferencing by initialing the type of hearing below:

1.	Emergency Relief Hearing pursuant to S.C. Code Ann. § 62-5-108
2.	Formal Hearing on Petition for Appointment of Guardian
3.	Informal Proceeding on Petition for Appointment of Guardian
4.	Formal Hearing on Petition for Appointment of Conservator
5.	Informal Proceeding on Petition for Appointment of Conservator
6.	Formal Hearing on Petition for Protective Order
7.	Informal Proceeding on Petition for Protective Order
8.	Hearing on Temporary Consent Order
9.	Other:

I also acknowledge that the outcome or consequence of this matter would be no different if I appeared in person. The court will maintain the audio or video recording within the main office of the Probate Court for not less than 75 years from case initiation and until all administrative action has been completed. By my signature below, I consent to the use of video/audioconferencing in this proceeding. I have been fully informed of my right to be personally present before the court and, with that knowledge, I freely, knowingly and voluntarily waive that right. I further acknowledge, if I have an attorney, that I have been given an adequate opportunity to confer privately with my attorney on this decision.

Party Consenting to Video/audioconferencing:	Witness:
(Signature)	(Signature)
(Print Name)	(Print Name)

, 20

, South Carolina

GRCO Form X (7/2020)