Public Records Request

2. 
4. The Tennessee Public Records Act (TPRA) grants Tennessee citizens the right to access open public records that exist at the time of the request. The TPRA does not require records custodians to compile information or create or recreate records that do not exist.
8. Requestor's First Name*
9. Requestor's Last Name*
11. Phone Number
12. E-mail Address*
14. Is the requestor a Tennessee Citizen? (Copy of Driver's License Required)*

    1. Yes
    2. No
15. Please attach your State Issued Driver's License or ID:*
17. Street Address
19. City
20. State*
21. Zip
25. I request:*
    -- Select One --Copy/DuplicateInspection (The TPRA does not permit fees or require a written request for inspection only)
26. Please select a delivery method for the requested documents:*
    -- Select One --Town Hall Pick-upElectronic DeliveryUSPS (First Class Mail)
28. If costs for copies are assessed, the requester has a right to receive an estimate. Do you wish to waive your right to an estimate and agree to pay copying and duplication costs in an amount not to exceed $250.00? If so, initial here:
30. Provide a detailed description of the record(s) requested, including (1) type of record, (2) time frame or dates for the records sought, and (3) subject matter or key words related to the records. Under the TRPA, records requests must be sufficiently detailed to enable a government entity to identify the specific records sought. As such, your records request must provide enough detail to enable the records custodian responding to the request to identify the specific records you are seeking. *
34. Electronic Signature of Requestor:*

    Under penalty of perjury, I herewith affirm that my electronic signature was signed by myself with full knowledge and consent and am legally authorized to sign. 

35. Date of Submittal:*
    Date of Submittal:
Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

* indicates a required field