DCTV Coverage Request Form

**Requests must be submitted no less than two weeks prior to the event date and no more than one month before the event date.**

Department

Date Submitted

Contact Name/Phone

E-mail

Date and Time of Event

Event Address

Please attach your agenda/run-of-show

One file only.
100 MB limit.
Allowed types: txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods.

Potential Interviewees

EVENT DESCRIPTION

NEWS ELEMENTS

List potential sound/interviews/visuals – video, graphics, etc. – that will help tell the story

Potential Future Coverage

**All requests are subject to availability and approval by the Director of DCTV.**

**All tentative and/or confirmed coverage is subject to change.**

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