Tennessee Open Records Information Services

REQUESTOR INFORMATION FORM:

The 'Requestor Information Form' is used to establish your information on the Web site. Submitting criminal history checks through the web site can ONLY be done after submitting the following information and payment (or creating an account). Please make sure all mandatory fields are completed (mandatory fields are in bold.) Confirmation will be sent to the email address provided below. THIS IS NOT A FORM TO BE USED FOR A CRIMINAL HISTORY CHECK ON AN INDIVIDUAL. This should be YOUR information.

Provide YOUR information below:

Last name
First name
Middle initial
Street address
Address (cont.)
City
State
*Zip/Postal code*
*Phone*
*E-mail*
*Confirm E-mail*

NOTE: Please verify that the above information is correct for fast validation...

TN-FlexCheck™
Version: 6.2.0.2