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2. Requestor*
3. Date*
5. Street Address*
7. City*
8. State*
10. Phone Number*
11. Email Address*
13. Is the requestor a Tennessee citizen?*

    1. Yes
    2. No
15. Driver's License*
    Proof of Tennessee citizenship by presentation of a valid Tennessee driver's license (or alternative acceptable form of ID) is required as a condition to inspect or receive copies of public records.
17. Records Requested:*
    Under the TRPA, record requests must be sufficiently detailed to enable a governmental entity to identify the specific records sought.
19. View records:*

    Please indicate how you would like to receive/view information contained in requested records.

    1. Inspection (The TPRA does not permit fees or require written request for inspection only.)
    2. Copy/Duplicate
21. Delivery preference for Copy/Duplicate of requested records:

    1. On-Site Pick-Up
    2. Electronic (if available)
    3. USPS First-Class Mail
    4. Other
Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field