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: City of East Ridge
Janet Middleton, City Recorder
1517 Tombras Avenue
East Ridge, TN 37412
423-867-7711
jmiddleton@eastridgetn.gov
From: Requestor’s Name:
Requestor’s Address:
Requestor’s Phone #:
Requestor’s E-mail:
Is the requestor a Tennessee citizen? Yes No
Request: Inspection (The TPRA does not permit fees or require a written request for inspection
only
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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 USPS First-Class Mail
Electronic Other: ________________________
Records Requested:
Provide a detailed description of the record(s) requested, including: (1) type of record; (2)
timeframe or dates for the records sought; and (3) subject matter or key words related to the
records. Under the TPRA, record requests must be sufficiently detailed to enable a governmental
entity to identify the specific records sought. As such, your record request must provide enough
detail to enable the records custodian responding to the request to identify the specific records
you are seeking.
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Signature of Requestor and Date Submitted Signature of Public Records Request Coordinator
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Note, Tenn. Code Ann. § 10-7-504(a)(20)(C) permits charging for redaction of private records of a utility.