Office of Communications Request Form

Department Requesting Coverage

Requestor's Name

Request Type

Videography

Photography

Event posting for the Web Calendar/ Social Media/ Email Blast

Approval

This submission is approved by my supervisor / department head.

Name of Event

Not Applicable

Event Date

Start Time

End Time

Event Street Address

City

Contact Person(s)

Best Phone Number

Alternate Contact Number

Email Address

Alternate Email

Did you check your submission for grammar and spelling errors?

Yes, I have reviewed the form for grammar and spelling errors.

Choose file(s) to upload

Additional Comments

I warrant and represent that the event broadcast by Clayton County Access Television (CCTV) will not contain:

Any solicitation of funds, advertising, or any material designed to promote the sale of commercial products or services;

Any material that is slanderous, libelous or made unlawful by a government body;

Any material that is copyrighted or subject to ownership or royalty rights without the necessary releases, licenses or permission;

We ask that all requests be submitted at least two weeks prior to the event whether requesting coverage or submitting ready to air slides.

Date of Submission

By submitting this form, you confirm that you have read and agree to the official rules and terms.