COVER SHEET
STATE OF ARKANSAS
CIRCUIT COURT: CIVIL
1
6/1/2017
The civil reporting form and the information contained herein shall not be admissible as evidence in any
court proceeding or replace or supplement the filing and service of pleadings, orders, or other papers as
required by law or Supreme Court Rule. This form is required pursuant to Administrative Order Number 8.
Instructions are available at https://courts.arkansas.gov. 1/1/2017
County: District: Filing Date:
Judge: Division: Case ID:
Type of
case (select one that best describes the subject matter)
Plaintiff
Defendant
Company/
Last Name
Company/
Last Name
Suffix
Suffix
First Name
First Name
DL/State ID
DL/State ID
Address
Address
City, State ZIP
City, State ZIP
Phone
Phone
Email
Email
Self-represented
Self-represented
DOB
DOB
Interpreter
needed?
Interpreter
needed?
Attorney
of Record: Bar #:
For the: Email Address:
Related Case(s): Judge: Case ID(s):
Manner of filing (choose one):
Yes:
No
Yes:
No
Plaintiff Defendant Intervenor
Yes
No
Yes
No
_________________
_________________
_________________
__________________
________________
____________________
__________________________
____________________
________________________
_________________
____________________
other language:
other language:
___________
___________
--------------------------------------------------------------
----------------------------------------------
----------------------------------------------
---------------------------------