2025 2 18 Regular Session Packet 1

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Resolution No. 201 7-11 
Page 6 of 7 
PUBLIC RECORDS REQUEST FORM A 
The Tennessee Public Records Act (TP RAj grants Tennessee citizens the right to access open public 
records that exist at the time of the request. The TP RA does not require records custodians to compile 
information or create or recreate records that do not exist. 
To: Administrative Assistant to the City Manager, Athens City Hall, 815 North Jackson 
Street, Athens, Tennessee 37303
From: [Insert Requestor's Name and Contact Information (include an address for any 
TPRA required written response)] 
Is the requestor a Tennessee citizen? D Yes D No 
Request: D Inspection (The TPRA does not permit fees or require a written request for 
inspection only.1 ) 
D 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: D On-Site Pick-Up D USPS First-Class Mail 
D Electronic D 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. 
Signature of Requestor & Date Submitted Signature of Public Records Request Coordinator & Date Received 
1 Note, Tenn. Code Ann. § I 0-7-504(a)(20)(C) permits charging for redaction of private records of a utility. 
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