INSTRUCTIONS FOR COMPLETING APPELLATE COURT COVER SHEET
The Appellate Court Cover Sheet and the information contained herein are intended for case initiation purposes only. It
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.
APPELLATE COURT INFORMATION
The filing information must be completed by the attorney or pro se litigant filing an initial record/pleading with the Clerk
of the Supreme Court and Court of Appeals. The clerk shall not accept the record/pleading unless accompanied by this
reporting form. The clerk shall place the original reporting form in the case file.
Case Filed In: Indicate whether the case is being filed in the Supreme Court or Court of Appeals. Per Rule 1.2 of the
Rules of the Supreme Court and Court of Appeals: All cases appealed shall be filed in the Court of Appeals except that the
following cases shall be filed in the Supreme Court:
1. All appeals involving the interpretation or construction of the Constitution of Arkansas;
2. Criminal appeals in which the death penalty or life imprisonment has been imposed;
3. Petitions for quo warranto, prohibition, injunction, or mandamus directed to the state, county, or municipal
officials or to circuit courts;
4. Appeals pertaining to elections and election procedures;
5. Appeals involving the discipline of attorneys-at-law and or arising under the power of the Supreme Court to
regulate the practice of law;
6. Appeals involving the discipline and disability of judges;
7. Second or subsequent appeals following an appeal which has been decided in the Supreme Court; and
8. Appeals required by law to be heard by the Supreme Court.
Type of Case: Place an “X” in the single box which best describes the subject matter of the case you are filing. Each Case
Type is defined below.
Civil Case Types:
Civil Appeal Circuit – appeal from circuit court final judgment, decree, or order.
Civil Appeal Administrative – appeal from a state agency decision.
Incarcerated Civil Appeal – appeal by incarcerated person in a civil matter, not including Rule 37.1/37.5 post conviction
appeals
Juvenile Civil Appeal – appeal from the trial court of any family-in-need-of-services type case, or other juvenile matter
that is not delinquency or involving DHS.
DHS Juvenile Appeal – appeal from the juvenile division of the trial court of a case involving DHS such as: dependency-
neglect, adjudication, and termination of parental rights. Provide whether the DHS Juvenile Appeal is being filed under
Rule 6-9 or 6-10 by placing an X in the appropriate box.
Probate Appeal – appeal from the trial court of a probate action such as adoption, guardianship, small estate, etc.
Original Action – the Supreme Court shall have original jurisdiction in extraordinary actions as required by law, suits
attacking the validity of statewide petitions filed under Amendment 7 of the Constitution of Arkansas, or where the
Supreme Court's contempt powers are at issue.
Interlocutory Appeal – appeal from the trial court prior to a disposition being entered in the trial court.
Department of Workforce Services – any case being initiated for or against the Arkansas Department of Workforce
Services.
Public Service Commission any case being initiated from the Public Service Commission.
Worker’s Compensation – any case being initiated from the Worker’s Compensation Commission.
Criminal Case Types:
Appeal by State – appeal from the trial court by the State of Arkansas.
Appellate Felony – appeal from the trial court of a felony conviction.
Appellate Misdemeanor – appeal from the trial court of a misdemeanor conviction.
Juvenile Delinquency Appeal – appeal from the trial court of any delinquency action.
Postconviction Death – appeal of a post judgment motion or petition in a case involving a death sentence.
Postconviction Appeal – a criminal appeal of a post judgment motion or petition in a criminal case.
Capital Life without Parole – appeal from the trial court of a case involving a life without parole sentence.
Capital Death – appeal from the trial court of a case involving a death sentence.
Writs:
Original petitions for an extraordinary writ, are filed in the Supreme Court and must comply with Rule 6-1 of the Rules of
the Supreme Court and Court of Appeals. A petition for writ of certiorari to complete the record must comply with Rule
3-5 of the Rules of the Supreme Court and Court of Appeals.
Committee Actions:
Attorney appeal involving the discipline of an attorney.
Judge – appeal involving the discipline or disability of a judge.
Voluntary License Surrender – a case in which an attorney is voluntarily surrendering his or her license.
APPELLATE PARTY INFORMATION
Primary Appellant/Petitioner: Provide the last name and first name for the primary appellant/petitioner. If the
primary appellant/petitioner is a business, enter the business name in the Last Name field. Address and phone
information must be provided if the appellant/petitioner is filing pro se.
Driver’s License/State ID Number: Provide the driver’s license number or state ID number for the primary
appellant/petitioner. If the primary appellant/petitioner is a business this may be left blank. The driver’s license/state
ID number is used internally to identify the correct person when adding a party to the case. The driver’s license/state ID
number is not displayed or provided to the public.
Juvenile: Check the juvenile check box if the appellant/petitioner is a juvenile.
Primary Appellant Attorney: Provide the name, bar number, address, phone, and email address of the primary
appellant/petitioner’s attorney.
Primary Appellee/Respondent: Provide the last name and first name for the primary appellee/respondent. If the
primary appellee/respondent is a business, enter the business name in the Last Name field. Address and phone
information must be provided if the appellee/respondent is filing pro se.
Driver’s License/State ID Number: Provide the driver’s license number or state ID number for the primary
appellee/respondent. If the primary appellee/respondent is a business this may be left blank. The driver’s license/state
ID number is used internally to identify the correct person when adding a party to the case. The driver’s license/state ID
number is not displayed or provided to the public.
Juvenile: Check the juvenile check box if the appellee/respondent is a juvenile.
Primary Appellee Attorney: Provide the name, bar number, address, phone, and email address of the primary
appellee/respondent’s attorney, if known.
LOWER COURT INFORMATION
Judge: Provide the name of the judge who presided over the case in the trial court and signed the order/judgment.
County: Provide the name of the county where the case was originally tried.
Lower Court Case Number: Provide the case number from the trial court.
Court Reporter: Provide the name of the court reporter who prepared the record of the proceedings at the trial court.
Court Reporter No.: Provide the court reporter number of the court reporter who prepared the record of the
proceedings at the trial court.
Related Appellate Case Number(s): Provide case numbers for any appellate cases to which this case is related.
Case Relationship: Describe how the case listed is related to this case.
Dept of Correction ID: Provide the Department of Correction ID for the Appellant/Petitioner.
Unit Assigned To: Provide the Department of Corrections unit to which the Appellant/Petitioner is assigned.
COVER SHEET STATE
OF ARKANSAS
SUPREME COURT AND COURT OF APPEALS
CASE FILING INFORMATION
Case Filed in:
Supreme Court
Court of Appeals
CIVIL: CRIMINAL:
(CA) Civil Appeal Circuit (AC) Appeal by State
(AI) Civil Appeal Administrative (AF) Appellate Felony
(PO) Incarcerated Civil Appeal (AM) Appellate Misdemeanor
(JU) Juvenile Civil Appeal (JL) Juvenile Delinquency Appeal
(DH) DHS Juvenile Appeal Rule 6-9 6-10 (PD) Post Conviction Death
(PE) Probate Appeal (PV) Post Conviction Appeal
(OA) Original Action (SC) SC – Capital Life w/o Parole
(IA) Interlocutory Appeal (SD) SC – Capital Death
(DW) Department of Workforce Services
(PB) Public Service Commission
(WC) Worker’s Compensation
Civil Writs: Criminal Writs: Committee Actions:
(WV) Writ of Certiorari (WE) Writ of Certiorari (AT) Attorney
(WB) Writ of Habeas Corpus (WH) Writ of Habeas Corpus (DL) Judge
(WD) Writ of Mandamus (WM)Writ of Mandamus (VS) Voluntary
(WN) Writ of Prohibition (WP) Writ of Prohibition
License
(WA) Appellate Writ – Other (WR) Appellate Writ – Other
Surrender
APPELLATE PARTY INFORMATION
Primary Appellant/Petitioner
Primary Appellee/Respondent
Last Name
Last Name
First Name
First Name
DL/State ID
Juvenile
DL/State ID
Juvenile
Address
Address
City, State ZIP
City, State ZIP
Phone
Phone
Primary Appellant/Petitioner Attorney
Primary Appellee/Respondent Attorney
Last Name
Last Name
First Name
First Name
Bar Number
Bar Number
Address
Address
City, State ZIP
City, State ZIP
Phone
Phone
Email
Email
LOWER COURT INFORMATION
Judge
County
Case Number
Court Reporter Name
Court Reporter Number
Related Appellate Case Numbers
Case Relationship
Dept of Correction ID
Assigned to Unit
COVER SHEET
STATE OF ARKANSAS
SUPREME COURT AND COURT OF APPEALS
ADDITIONAL APPELLATE PARTY INFORMATION
Appellant/Petitioner
Appellee/Respondent
Last Name
Last Name
First Name
First Name
DL/State ID
Juvenile
DL/State ID
Juvenile
Address
Address
City, State Zip
City, State Zip
Phone
Phone
Appellant/Petitioner Attorney
Appellee/Respondent Attorney
Last Name
Last Name
First Name
First Name
Bar Number
Bar Number
Address
Address
City, State Zip
City, State Zip
Phone
Phone
Email
Email
Appellant/Petitioner
Appellee/Respondent
Last Name
Last Name
First Name
First Name
DL/State ID
Juvenile
DL/State ID
Juvenile
Address
Address
City, State Zip
City, State Zip
Phone
Phone
Appellant/Petitioner Attorney
Appellee/Respondent Attorney
Last Name
Last Name
First Name
First Name
Bar Number
Bar Number
Address
Address
City, State Zip
City, State Zip
Phone
Phone
Email
Email
Appellant/Petitioner
Appellee/Respondent
Last Name
Last Name
First Name
First Name
DL/State ID
Juvenile
DL/State ID
Juvenile
Address
Address
City, State Zip
City, State Zip
Phone
Phone
Appellant/Petitioner Attorney
Appellee/Respondent Attorney
Last Name
Last Name
First Name
First Name
Bar Number
Bar Number
Address
Address
City, State Zip
City, State Zip
Phone
Phone
Email
Email