PUBLIC RECORD REQUEST RESPONSE FORM
In response to your records request received on ____________________, our office is taking the action(s)
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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
The 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
Sincerely,
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If all requested records do not have the same response, so indicate.
[Insert Governmental Entity Name and Address]
[Date]
[Requestor's Name and Contact Information]:
[Date Request Received]
[Records Custodian or Public Records Request Coordinator]
[Records Custodian or Public Records Request Coordinator]
[Name, Title, and Contact Information]