Tenn. Comp. R. & Regs. 0940-01-10-.11
PUBLIC RECORDS REQUEST RESPONSE FORM
TN Department of Mental Health and
Substance Abuse Services
[Date]
[Requestor's Name and Contact Information]:
In response to your records request received on [Date Request Received], our office is taking the action(s)1 indicated below:
[] The public record(s) responsive to your request will be made available for inspection:
Location:___________________________________________________
Date & Time:_______________________________________________
[] Copies of public record(s) responsive to your request are:
[] Attached;
[] Available for pickup at the following location:
_____________________________________________________; or
[] Being delivered via: [] USPS First-Class Mail [] Electronically [] Other:_________________________
[] Your request is denied on the following grounds:
[] Your request was not sufficiently detailed to enable identification of the specific requested record(s). You need to provide additional information to identify the requested record(s). [] No such record(s) exists or this office does not maintain record(s) responsive to your request.
[] No proof of Tennessee citizenship was presented with your request. Your request will be reconsidered upon presentation of an adequate form of identification.
[] You are not a Tennessee citizen.
[] You have not paid the estimated copying/production fees.
[] The following state, federal, or other applicable law prohibits disclosure of the requested records:
________________________________________________________________________.
[] It is not practicable for the records you requested to be made promptly available for inspection and/or copying because:
[] It has not yet been determined that records responsive to your request exist; or
[] This office is still in the process of retrieving, reviewing, and/or redacting the requested records.
The time reasonably necessary to produce the record(s) or information and/or to make a determination of a proper response to your request is: _______________________________________.
If you have any additional questions regarding your record request, please contact [Records Custodian or Public Records Request Coordinator].
Sincerely,
[Records Custodian or Public Record Request Coordinator] [Name, Title, and Contact Information]
_____________________________
1 If all requested records do not have the same response, so indicate.
Tenn. Comp. R. & Regs. 0940-01-10-.11
Authority: T.C.A. §§ 10-7-503, 33-1-302, 33-1-303, 33-1-305, and 33-1-309.