100 River Road, Suite 103 ▪ Box 106 ▪ Loudon, Tennessee 37774-1042

Phone 865-458-4664 ▪ Fax 865-458-6508

Text Box: For office Use Only:   Date Received: ___________________________                                     Date and amount of deposit made for copy or other fees: __________________________   Date and amount of balance paid or refunded for copy or other fees: __________________________   Date Completed: ___________________________   Total Personnel Time:   ______________________________  

Request For Information 

 

Date:                                                                                                   

Name:                                                                                                 

Address:                                                                                              

                                                                                                           

                                                                                                           

Phone #:                                                                                              

 

Information requested:                          __________________

                                                                                                                                                                                                                                                                                                                                               

                                                                                                                                                                       

                                                                                                                                                                       

By signing below, I acknowledge that I have made this request for information, that I have been provided with a copy of Loudon County’s Public Records Policy, that I have read and understand the Policy, and that I will not destroy or alter any public record that I inspect.

 

                                                                                                                                                           

                                                                        Requestor’s Signature

 

 

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