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Open Records Request

Please correct the field(s) marked in red below:

Smyrna_Seal_small
Open Records Request
Town of Smyrna, Tennessee

315 South Lowry Street
Smyrna, Tennessee 37167
(615) 459-2553

1
Person Making Request (first and last name)
 *
2
Today's Date
 *
3
Address
 *
4
City
 *
5
State
 *
6
Zip Code
7
Phone Number
 *
8
Alternate Phone Number
9
Email Address
 *
10
Provide a detailed description of record(s) requested
 *
All copies will be made at $.15 for each standard 8 ½ x 11 or 8 ½ x 14 black and white copy and $.50 for each standard 8 ½ x 11 or 8 ½ x 14 color copy; however, special sized documents and different media will be charged accordingly. All information requested will be made available on a time permitting basis.
11
By checking the box, I agree that this will serve as my digital signature for my open records request.
 *

FOR TOWN USE ONLY
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RECORD(S) PROVIDED:

  1. To receive a copy of your submission, please fill out your email address below and submit.