Social Media Brand Authorization Request Form
Submit your request to obtain authorization to represent a brand on designated social media platforms.
Full Name of Requester
*
First Name
Last Name
Organization or Agency Name (if applicable)
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Brand Name to Represent
*
Official Brand Website
Select Social Media Platforms for Authorization
*
Facebook
Instagram
Twitter/X
LinkedIn
YouTube
TikTok
Other
Purpose of Authorization (e.g., content posting, advertising, customer service)
*
Requested Authorization Start Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Requested Authorization End Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please upload any supporting documents (e.g., agency agreement, brand approval letter)
Upload a File
Drag and drop files here
Choose a file
Cancel
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Signature of Requester (Draw your signature to confirm authorization request)
*
Submit Authorization Request
Submit Authorization Request
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