COVER SHEET
STATE OF ARKANSAS
CIRCUIT COURT: CIVIL
6/1/2017
Additional Civil Case Party Information. Attach this and additional pages if needed.
If amending an
existing case to add parties, include:
Case ID: Case Styling:
Party type:
Plaintiff Defendant
Party type
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
Yes No
Self-represented
Yes No
DOB
DOB
Interpreter
needed?
Yes:
No
Interpreter
needed?
Yes:
No
Party type:
Plaintiff Defendant
Party type
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
Yes No
Self-represented
Yes No
DOB
DOB
Interpreter
needed?
Yes:
No
Interpreter
needed?
Yes:
No
______________________
______________________________
other language:
_____________
other language:
______________
other language:
other language:______________
______________
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