COVER SHEET STATE OF ARKANSAS CIRCUIT COURT: CIVIL /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 American LegalNet, Inc. www.FormsWorkFlow.com