0940-01-10-.11
Public Records Request Response Form
Cite as Tenn. Comp. R. & Regs. 0940-01-10-.11
PUBLIC RECORDS REQUEST RESPONSE FORM
TN Department of Mental Health and
Substance Abuse Services
[Date]
[Requestor’s Name and Contact Information]:
In response to your records request received on [Date Request Received], our office is taking
the action(s)1 indicated below:
The public record(s) responsive to your request will be made available for inspection:
Location:
Date & Time:
Copies of public record(s) responsive to your request are:
Attached;
Available for pickup at the following location:
; or
Being delivered via: USPS First-Class Mail Electronically Other:_________________________
Your request is denied on the following grounds:
Your request was not sufficiently detailed to enable identification of the specific requested
record(s). You need to provide additional information to identify the requested record(s).
No such record(s) exists or this office does not maintain record(s) responsive to your
request.
No proof of Tennessee citizenship was presented with your request. Your request will be
reconsidered upon presentation of an adequate form of identification.
You are not a Tennessee citizen.
You have not paid the estimated copying/production fees.
The following state, federal, or other applicable law prohibits disclosure of the requested
records:
________________________________________________________________________.
It is not practicable for the records you requested to be made promptly available for inspection
and/or copying because:
It has not yet been determined that records responsive to your request exist; or
This office is still in the process of retrieving, reviewing, and/or redacting the requested
records.
The time reasonably necessary to produce the record(s) or information and/or to make a
determination of a proper response to your request is:
_.
If you have any additional questions regarding your record request, please contact [Records
Custodian or Public Records Request Coordinator].
Sincerely,
[Records Custodian or Public Record Request Coordinator] [Name, Title, and Contact Information]
If all requested records do not have the same response, so indicate.
PUBLIC RECORDS REQUESTS
CHAPTER 0940-01-10