Union Station DC Form Submission

40 Massachusetts Avenue, N.E., Washington, DC 20002
Phone: (202) 289-1908 Fax: (202) 289-6263 (submit form to dgriffiths@unionstationdc.com OR eventsdc@unionstationdc.com)

PHOTO/FILM AUTHORIZATION FORM

Name of organization:
Name of contact:
Mailing Address:
Address2:
City:
State:
Zip:
Email Address:
Phone:
Fax:
Desired date of shoot
Time and duration of shoot:
Location(s) desired and amount of space required (please be specific)	(Note: if merchant space or restaurant is requested, you must obtain authorization from the Manager)
Subject/Purpose of shoot (please be specific)
Names and titles of crew members:
Equipment being used (if tripod is used a current valid certificate of insurance must be submitted via fax (202) 289-6263 or email to dgriffiths@unionstationdc.com):
Power needs for equipment:
Publication or air date:	(Note: Union State must receive a copy of the final product (tape or publication)
Other special needs:
	*Please Enter the text from the image below.