Form · Request
Media request form template
Journalists get a short, clear route to your press team instead of a generic inbox. The form asks what kind of request it is and follows up to match: preferred format and spokesperson for an interview, which assets for a media kit request, and location details for filming.
Try it live
Try it as a respondent
Every question, and where it leads
The conversation
What a respondent is asked, in order.
Hello. Tell us about your story and we'll get back to you before your deadline where we can.
Your name and how to reach you
Which outlet or publication are you with?
What kind of outlet is it?
A link to the outlet or to your recent work
What are you asking for?
How would you like to do the interview?
Is there someone in particular you'd like to speak to?
Which assets do you need?
Where would you like to film or photograph, and roughly how big is the crew?
What is the story about, and what angle are you taking?
What is your deadline?
When do you expect it to publish or air?
Anything else we should know, such as other people you're speaking to?
Ends with
Thanks, your request is with our press team
The flow
Where each answer leads. Every route here is editable once the form is yours.
Contact info
Short text
Single select
Website
Single select
Single select
Short text
Multi select
Long text
Long text
Date
Date
Long text
What this template uses
- Contact info
- Short text
- Single select
- Website
- Multi select
- Long text
- Date
- 5 branches
Questions to consider
- Who answers media requests, and do they need the phone number as well as the email?
- Which spokespeople are available, and should the form list them by name?
- Do you have a media kit you can link to in the ending, so asset requests answer themselves?
- What is your policy on filming at your premises?
How to use the responses
Sort new requests by deadline, since a same-day quote needs a reply within hours while a feature can wait a few days. Tell the journalist early if you can't help, because a clear no lets them move on. Keep a record of outlets and topics in an exported CSV, which becomes your press list for future announcements.
How to customize and share it
- 1List your actual spokespeople or press contacts in the interview follow-up if you want to steer requests.
- 2Add a link to your media kit in the ending so asset requests can be served straight away.
- 3Link the form from the press or newsroom page on your site, or embed it there directly.
Frequently asked questions
What should a media request form ask?
The journalist's contact details, the outlet, what they want, the story angle and the deadline. The deadline matters most, because press requests are time-sensitive.
Where should I put a media request form?
On your press or newsroom page, and in the signature of whoever handles press. Journalists look there first for a direct route.
Should I ask for the journalist's phone number?
Yes, if you can call back. Tight deadlines are often resolved faster by phone than by email.
Can I use this for event press passes too?
Yes. Copy the template with Use this template, add a request type for press passes and a follow-up asking which event and date.