Small Claims Form 3. 1 8 : Dismissal In the Iowa District Court for County Plaintiff(s) (Name) (Name) vs. Defendant(s) (Name) (Name) Dismissal Small Claim No. By this filing , I (we) dismiss my ( our ) claim(s) (check only one of the following ) : With p rejudice ( I (we) cannot refile the claim (s) ). Without p rejudice ( I (we) may refile the claim (s) ). /s/ /s/ Filing Plaintiff or Attorney Second Plaintiff, if applicable Law firm, or entity for which filing is made, if applicable Law firm, or entity for which filing is made, if applicable Mailing a ddress Mailing a ddress Telephone n umber Telephone n umber Email a ddress Email a ddress Additional email a ddress, if applicable Additional email a ddress, if applicable American LegalNet, Inc. www.FormsWorkFlow.com