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Title

Permission to Use a Photo, Audio, Illustration or Video

 
Form number Date Published Date Revised
ECY 070-495 June 2013 June 2025
VIEW NOW Permission to Use a Photo, Audio, Illustration or Video (Number of pages: 1) (Publication Size: 114KB)


Microsoft Word format (Publication Size: 100KB)


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Description The purpose of this form is to get permission from someone not employed by Ecology to use their photo, audio, video, or quote on Ecology's website, in a publication, video, or Power Point presentation.

To fill out this form online, go to ecology.wa.gov/permissionform.
REQUEST A COPY The mission of the Department of Ecology is to protect, preserve, and enhance Washington’s environment. To help us meet that goal, please consider the environment before you print or request a copy.

ADA Accessibility
The Department of Ecology is committed to providing people with disabilities access to information and services by meeting or exceeding the requirements of the Americans with Disabilities Act (ADA), Section 504 and 508 of the Rehabilitation Act, and Washington State Policy #188.
Visit Ecology’s website for more information
Contact Amanda Johnson at 360-522-0765 or amanda.johnson@ecy.wa.gov
Keywords form, Admin Form, Official Ecology Form
WEB PAGE Permission Form