REQUEST FOR PUBLIC RECORDS
Any citizen of the State of Tennessee may inspect public records during normal business hours, 8 am to 5 pm Monday
through Friday, as described by T.C.A. 10-7-503. To assist the Maury County Sheriff’s Department in verifying your right
to inspect its records and to locate the records you desire to inspect, please complete the following information:
REQUES
TOR’S INFORMATION:
You
r Name: _______________________________________ TN Driver’s License #: ________________________
Street Address: _________________________________________________________________________________
If you wish records to be mailed, list mailing address if different from street address above including city, state and zip
code: ____ yes ____ no
Mail
ing address: _________________________________________________________________________________
Daytime Phone Number: ____________________________
SPECIFIC DESCRIPTION OF RECORDS:
Date
of Report/Incident: ____________________________ Case No. ____________________________________
Type of Incident: ________________________ Address of Incident: _____________________________________
If someone was arrested, list subject’s name(s): _______________________________________________________
Brief Description of Incident: ______________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
NOTICE: As described in T.C.A. 10-7-503, The Maury County Sheriff’s Department may charge for copies of
the requested records. Charges include 15 cents per black and white pages, 50 cents per color pages,
postage if records are mailed and an hourly research rate (no charge for the first hour). Maury County
Sheriff’s Department has the right to request part of the costs upfront. Also stated in T.C.A. 10-7-503, The
Maury County Sheriff’s Department has 7 business days to provide the requested records, provide you with
a denial letter stating why the records cannot be released, or provide you with a legal reason if the records
cannot be provided within 7 business days. The date and time below will be the start of the 7 business
days.
I certify that I have read the above notice.
Sig
nature: ____________________________________________________________________________
Date and Time: ______________________________
Email:
