Captioning Request for Promotional or Public-Facing Video

• Requestor's Name *
• Requestor's Phone *
• Requestor's Email *
• Approximate length of video
• Please provide an additional information that would be useful in evaluating this request.
• How will the file be delivered for captioning?
• Is all media to be presented accessible to all audiences?
  Is all media to be presented accessible to all audiences?

  Yes No Not sure