The Hamilton County Election Commission

Voter List Purchase Form

Submit online below OR mail/email this completed form to:

Hamilton County Election Commission
700 River Terminal Road, Chattanooga, TN 37406
Email: [email protected]

Requestor Information

Requestor's Name or Name of Agency/Group: *

Requestor's Address (Street, City, State, and Zip Code): *

Requestor's Phone Number: *

Email Address: *

Order Details & Certifications

Political Purposes Certification: *

⚠️ State of Tennessee Legal Notice (T.C.A. § 2-2-138): Prior to purchasing a voter list, the purchaser must certify that the voter information will be used for political purposes only. False certification is a Class B misdemeanor punishable by a $500 fine.

I certify that the voter information I am purchasing with this order is for political purposes. I DO NOT certify that the voter information I am purchasing with this order is for political purposes.

Type of Request: * Electronic voter list (Secure email download link) - $42.00 * Note: Your voter list will be delivered via a secure email download link. If you choose to pick up the list in person at the Election Commission office, we will supply it on a secured HCEC USB thumb drive.

Voter List Selection Criteria

Political Boundary Filters:

Municipality:

Chattanooga City Council District: (Enabled only when Chattanooga is selected above)

County Commission / School Board District:

Tennessee State Senate District:

Tennessee State House District:

Registration Date Range (Optional):

Beginning Date of Registration:

Ending Date of Registration:

Precinct(s) Filter (Optional):

Specific Election(s) Filter (Optional):

Voter History Option: Include Voter's Entire Voting History * Note: If checked, HCEC provides the voter's entire voting history. Specifying custom year ranges is not supported.

Description of Voter List Requested (Optional):

By signing and submitting this form, you certify that this data is provided "as-is" without warranties or technical support. In no event shall the Election Commission's liability exceed the purchase fee. The $42.00 fee must be paid before delivery.

A typed name below is the legal equivalent of a physical signature.

Signature of Requestor

Date