Request / Report Form

Choose the department to which you are directing your request.*

Commission District*

Road Name*

City or Town*

Specific Location in Need of Repair (e.g. address, directions, or coordinates)*

Please describe the problem or request. *

Public records requests are processed by the Commission Office, located in Suite 106, on the ground floor of the Blount County Courthouse.

Requests requiring excessive time or research by county staff may require advance payment and will be assessed at $25 per hour.

Please describe the record(s) being requested.

Please state the purpose of this request.

All public records will be disbursed by email unless otherwise requested below. Requests for paper copies will be assessed at $1.00 per page.

Name*

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please choose the method by which you would like to receive the records. *

Email

Phone*

Area CodePhone Number

If you would like to be contacted in response to this request, please enter your email address or phone number below. Otherwise, you will not be contacted.

Email

Phone

Area CodePhone Number