Online Forms

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)

 *

Person Making Request (first and last name)

2

Today's Date

 *

Today's Date

3

Address

 *

Address

4

City

 *

City

5

State

 *

State(Select State) Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

6

Zip Code

Zip Code

7

Phone Number

 *

ext.Phone Number

8

Alternate Phone Number

ext.Alternate Phone Number

9

Email Address

 *

Email Address

10

You will need to submit a copy of your driver's license or other State-issued ID as proof that you are a Tennessee resident.

 *

You will need to submit a copy of your driver's license or other State-issued ID as proof that you are a Tennessee resident. Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

11

Provide a detailed description of record(s) requested

 *

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.

12

By checking the box, I agree that this will serve as my digital signature for my open records request.

 *

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.
2. Email Address

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