Hamilton County, TN Voter Data Order Form
The Tennessee Public Records Act (TPRA) grants Tennessee citizens an enforceable right to access open public records that exist at the time of the request. However, it is the policy of Hamilton County, Tennessee, General Government to extend such open public records access to all members of the public, regardless of residency. The TPRA does not require Records custodians or the Public Records Request Coordinator to compile information or create or recreate records that do not exist. Certain information is not public, which may require that the requested records be redacted prior to being provided.
Email *
Is requestor a TN resident? *
Requestor's Name: *
Requestor's Mailing Address: *
Requestor's Phone Number: *
Type of Request: *
Required
Description of Voter Lists Requested: *
Credit/Debit Card Number for Payment *
Name as it appears on Credit/Debit card *
Expiration Date on Credit/Debit Card *
Delivery Preference *
Please type or sign your full legal name below: *
Your full name above, if typed, is your electronic signature and is the legal equivalent of your written signature on this form.
By signing and submitting this data order form, you understand that THERE ARE NO WARRANTIES, INCLUDING BUT NOT LIMITED TO ANY IMPLIED WARRANTIES COVERING THE MAGNETIC MEDIA, THE DOCUMENTATION OR THE SOFTWARE PROGRAM INCLUDING ANY WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. An implied warranty of merchantability means that the product will work normally. An implied warranty of fitness means that a product is suitable for the use for which it is advertised. THE ELECTION COMMISSION SHALL NOT, IN ANY CASE, BE LIABLE FOR SPECIAL, INCIDENTAL, CONSEQUENTIAL, INDIRECT, OR OTHER SIMILAR DAMAGE ARISING FROM BREACH OF WARRANTY, BREACH OF CONTRACT, NEGLIGENCE, OR ANY OTHER LEGAL THEORY EVEN IF THE ELECTION COMMISSION OR ITS AGENTS HAVE BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. This means the Election Commission will not be responsible for any costs, including but not limited to those incurred as a result of lost profits or revenue, loss of use of the software, loss of data, the cost of recovering such data, or the cost of substitute software of claims by third parties. In no case shall the Election Commission liability exceed the amount of the purchase fee. You also understand, as required by T.C.A §2‐2‐138(d)(1), you certify that the voter list(s) you are purchasing will be used for political purposes only. False certification is a Class B misdemeanor §2‐2‐138(s) punishable by a $500 fine.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy