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] 1 If all requested records do not have the same response, so indicate.

Authority: T.C.A. §§ 10-7-503, 33-1-302, 33-1-303, 33-1-305, and 33-1-309. Administrative History: Original rule filed October 5, 2018; effective January 3, 2019.