Small Claims Complaint

Arkansas Small Claims Claim-Preparation Packet — Not for Filing

DO NOT FILE OR SERVE THIS PACKET. It organizes facts and records for counsel, a court self-help resource, or completion of the filing document actually authorized by the selected court. It does not start a case, preserve a deadline, establish eligibility, select a court, calculate damages, or complete service.

1. Claimant Information

Full legal name: [________________________________]

Other name used in the transaction: [________________________________]

Individual or organization: [________________________________]

Street address: [________________________________]

Mailing address: [________________________________]

Telephone: [________________________________]

Email: [________________________________]

Authorized representative, if any: [________________________________]

Attorney or reviewing professional: [________________________________]

2. Proposed Defendant Information

Use exact legal names. A trade name, store name, employee name, owner name, and entity name may refer to different persons.

Known trade names or aliases: [________________________________]

Registered-agent or other delivery information identified for review:

[____________________________________________________________]

Questions about the correct defendant:

[____________________________________________________________]

3. Court and Procedure Gate

Do not choose a court or calculate a deadline from this packet. Record answers obtained from the selected court's current materials or reviewing attorney.

Confirmed by: [________________________________]

Confirmation date: [__/__/____]

☐ The current case-starting document or portal was obtained from the selected court.

☐ Eligibility, amount, party, location, and timing questions were reviewed before drafting.

☐ Filing, fee, signature, service, and hearing steps were copied from a current case-specific source.

4. Dispute Summary

Short description of the dispute:

[____________________________________________________________]

[____________________________________________________________]

Where the relevant events occurred: [________________________________]

Date of the first relevant event: [__/__/____]

Date of the most recent relevant event: [__/__/____]

Date payment or performance was expected: [__/__/____]

What the claimant provided, promised, paid, or did:

[____________________________________________________________]

What the proposed defendant did or failed to do:

[____________________________________________________________]

How the claimant was affected:

[____________________________________________________________]

5. Event Chronology

6. Claim-Theory Review

Checking an item does not establish a claim. It identifies an issue for review under the law governing the facts.

☐ An agreement was not performed as promised.

☐ Money, goods, a deposit, or property should be returned.

☐ Work, goods, or services were defective or incomplete.

☐ Property was damaged.

☐ A person was injured.

☐ A bill, account, loan, or payment obligation is disputed.

☐ A misrepresentation, omission, or unauthorized transaction may be involved.

☐ Another issue: [________________________________]

Facts supporting the selected issue:

[____________________________________________________________]

Questions for counsel about required elements, defenses, or available relief:

[____________________________________________________________]

7. Amount and Remedy Worksheet

Do not include an item merely because it appears below. Counsel or the court's current materials must confirm what may be requested and what proof is required.

Proposed total before legal review: $[________________]

Nonmonetary outcome requested, if any: [________________________________]

Amount and remedy approved for the authorized filing: [________________________________]

8. Demand and Resolution History

Date payment or performance was requested: [__/__/____]

How the request was sent: [________________________________]

Response received:

[____________________________________________________________]

Settlement offers or partial performance:

[____________________________________________________________]

Documents showing delivery or receipt: [________________________________]

Preferred resolution: [________________________________]

9. Evidence and Witness Inventory

☐ Agreements, estimates, invoices, receipts, and payment records gathered.

☐ Messages, letters, photographs, recordings, and electronic records preserved.

☐ Ownership, assignment, account, or authority records gathered when relevant.

☐ Witness availability and contact information checked.

☐ Confidential, privileged, medical, financial, or identifying information flagged before submission.

10. Authorized Filing Record

Complete this section only for the separate filing document authorized by the selected court.

Document or portal used: [________________________________]

Prepared or reviewed by: [________________________________]

Signed by: [________________________________]

Signature or notarization completed as instructed: ☐ Yes ☐ No ☐ Not applicable

Filed on: [__/__/____]

Filing method and location: [________________________________]

Fee paid or waiver reference: [________________________________]

Receipt, case number, or confirmation: [________________________________]

Summons, notice, or service step assigned to: [________________________________]

Completion date and proof location: [________________________________]

11. Hearing Preparation

Confirmed hearing date and time: [________________________________]

Confirmed location or remote-access instructions: [________________________________]

Arrival or connection time: [________________________________]

☐ Bring or securely access the filed claim and all court notices.

☐ Organize exhibits and copies in the manner confirmed for the case.

☐ Prepare a short chronology and explanation of the requested amount.

☐ Confirm witness attendance and any required process with counsel or the court.

☐ Review accessibility, interpreter, scheduling, or remote-appearance needs early.

Questions for counsel, the clerk, or a court self-help resource:

[____________________________________________________________]

Final reminder: This packet is not a complaint or statement of claim. Filing or serving it does not start a case. Use only the filing document and procedure confirmed for the selected court.