Media Rights Approval Request Form
Submit a request for review of intended media use and requested rights.
Requester name
*
First Name
Last Name
Requester email
*
example@example.com
Organization or team
Media asset title and description, including current rights holder or source
*
Media type
*
Photograph
Video
Audio
Illustration/graphic
Written material
Other
Intended use, platforms, and context
*
Requested rights scope
*
Reproduce
Display
Distribute
Edit/adapt
Promote
Other
Requested territory or territories
*
Requested usage period and approval decision deadline (enter both dates)
*
Supporting files for the media asset and rights documentation
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