PUBLIC RECORDS REQUEST FORM
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.
To: [Insert Governmental Entity Name and Name and Contact Information for the Public Records Request Coordinator]
From: [Insert Requestor's Name and Contact Information (include an address for any TPRA required written response)]
Is the requestor a Tennessee citizen?[] Yes [] No
Request:[] Inspection (The TPRA does not permit fees or require a written request for inspection onlyi.)
[] Copy/Duplicate
If costs for copies are assessed, the requestor 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 $
___________________________________? If so, initial
here_________________.
Delivery preference:[]On-Site Pick-Up
[]DUSPS First-Class Mail
[]Electronic
[]Other:_________________
RECORDS REQUESTED:
Provide a detailed description of the record(s) requested, including:
______________________________________________________
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______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
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_______________________
Signature of Requestor and Date Submitted
_______________________
Signature of Public Records Coordinator and Date Received
Tenn. Comp. R. & Regs. 0940-01-10-.10
Authority: T.C.A. §§ 10-7-503, 33-1-302, 33-1-303, 33-1-305, and 33-1-309.
i Note, Tenn. Code Ann. § 10-7-504(a)(20)(C) permits charging for redac tion of private records of a utility.