GENERAL CIVIL CASE COVER SHEET

Arkansas Circuit/District Courts
(Required by Ark. Sup. Ct. Admin. Order No. 8)

I. COURT & DOCKET INFORMATION

1. Court: __[NAME OF CIRCUIT OR DISTRICT COURT]__
2. County: __[COUNTY]__
3. Division: __[DIVISION/DEPARTMENT, if any]__
4. Docket/Case No.: __[To be assigned by Clerk]__

II. PLAINTIFF INFORMATION

III. DEFENDANT INFORMATION

IV. ATTORNEY OF RECORD

1. Attorney Name: __[ATTORNEY NAME]__
2. Arkansas Bar No.: __[BAR #]__
3. Firm Name: __[LAW FIRM]__
4. Address: __[STREET, CITY, ST ZIP]__
5. Telephone: __[###-###-####]__
6. E-Mail: __[E-MAIL]__

V. NATURE OF SUIT (Select ONE primary case type and ONE sub-type)

A. CONTRACT
☐ 01 Debt (Non-Real Estate)
☐ 02 Breach of Contract
☐ 03 Mortgage Foreclosure
☐ 04 Replevin
☐ 05 Other Contract ______________________

B. TORT
☐ 10 Auto Accident
☐ 11 Premises Liability
☐ 12 Product Liability
☐ 13 Medical/Dental Malpractice
☐ 14 Legal Malpractice
☐ 15 Wrongful Death
☐ 16 Assault & Battery
☐ 17 Libel/Slander/Defamation
☐ 18 Other Tort ___________________________

C. CIVIL RIGHTS / EMPLOYMENT
☐ 20 Civil Rights (42 U.S.C. § 1983)
☐ 21 Employment Discrimination
☐ 22 Workers’ Compensation Appeal
☐ 23 Whistleblower/Retaliation

D. REAL PROPERTY
☐ 30 Eminent Domain/Condemnation
☐ 31 Quiet Title / Ejectment
☐ 32 Landlord–Tenant
☐ 33 Other Real Property ________________

E. FAMILY / DOMESTIC
☐ 40 Divorce
☐ 41 Child Custody/Support
☐ 42 Paternity
☐ 43 Adoption
☐ 44 Domestic Abuse
☐ 45 Other Domestic ________________

F. PROBATE / GUARDIANSHIP
☐ 50 Estate Administration
☐ 51 Guardianship/Conservatorship
☐ 52 Trust Matters
☐ 53 Other Probate ________________

G. OTHER CIVIL
☐ 60 Declaratory Judgment
☐ 61 Injunction / TRO
☐ 62 Class Action
☐ 63 Foreign Judgment Registration
☐ 64 Small Claims (appeal)
☐ 65 Administrative Appeal
☐ 66 Other Civil _______________________

VI. JURY DEMAND

☐ Yes ☐ No

VII. CLASS ACTION CERTIFICATION

☐ Proposed Class Action under Ark. R. Civ. P. 23

VIII. SUMMONS REQUESTED

☐ Yes ☐ No
If yes, number of summons to be issued: __[#]__

IX. RELATED OR RE-OPENED CASE

1. Is this filing reopening a closed case? ☐ Yes ☐ No
2. If “Yes,” previous Case No.: __[PREVIOUS DOCKET #]__
3. Is this filing related to other pending cases? ☐ Yes ☐ No
4. If “Yes,” list related Case No(s).: __[RELATED #s]__

X. FILING FEE INFORMATION

Statutory Filing Fee Paid: __$[AMOUNT]__
Method of Payment: ☐ Cash ☐ Check ☐ Money Order ☐ Credit Card ☐ In Forma Pauperis (IFP)

XI. SIGNATURE & VERIFICATION

I, the undersigned, certify that (a) the information provided in this civil cover sheet is true and correct to the best of my knowledge, information, and belief; (b) I have read Ark. Sup. Ct. Admin. Order No. 8 and understand that completion of this sheet is required for docket administration purposes only; and (c) a copy of this cover sheet will be served with the initial pleading as required.

Date: __[MM/DD/YYYY]__

__________________________________
[ATTORNEY / PRO SE SIGNATURE]

Print Name: __[PRINTED NAME]__
Title (if any): __[TITLE]__

XII. CLERK’S OFFICE USE ONLY (Do Not Complete)

• Filing Date: ________________________
• Amount Received: $_________________
• Receipt No.: _______________________
• Case Number Assigned: ______________
• Initials of Clerk: ___________________

[// GUIDANCE FOR PRACTITIONERS]
1. Attach this Cover Sheet as the first page of the initiating pleading.
2. If claiming In Forma Pauperis status, include the verified IFP affidavit per Ark. Code Ann. § 16-68-606.
3. For electronically-filed cases, ensure data fields in the e-Filing system mirror this sheet. Discrepancies may delay issuance of summons.
4. When multiple plaintiffs/defendants exceed available rows, attach a rider labeled "Attachment A – Additional Parties."
5. Keep a conformed copy stamped by the clerk for your records; it establishes proof of filing date and fee payment.

© 2025 [LAW FIRM / AUTHOR NAME]. All rights reserved.
This template is provided for general informational purposes and does not constitute legal advice. Verify all information against current Arkansas statutes, court rules, and local administrative orders before use.