• Date*
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  • Avoid sensitive personal data — Unless specifically requested to provide sensitive personally identifiable information (SPII) do not upload documents or type SPII into any form fields. This may include, but is not limited to, Social Security numbers, full dates of birth, full financial account details, passwords, medical records, or any other SPII.

    Purpose of collection — Any files or information you provide are voluntary and are used only to process your submission and support the purpose of this form. They are not used for marketing or unrelated activities.

    Confidential handling — Your uploads and responses submitted through this form will be handled confidentially in accordance with applicable Tennessee law, including exemptions under the Tennessee Public Records Act (T.C.A. §10-7-504, as amended), and protected with reasonable safeguards. While we implement strong security measures to protect your data, no system can guarantee absolute security, so please share only the information necessary for your submission and be aware of the risks associated with electronic submissions and that certain records may be subject to public disclosure requests unless legally exempt.

    User responsibility — Any information or files you provide must be appropriate to share and not violate any privacy laws, intellectual property rights, or contain harmful or illegal content.

  • Format: (000) 000-0000.
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