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Public Service Announcement (PSA) Request Form

A Few Guidelines:

  1. In order to be considered, your request must be received at least three weeks in advance.
  2. We reserve the right to deny any request.
  3. Please keep in mind that Governor Herbert's schedule is subject to change, based on current state needs and responsibilities at the time. If this occurs, we may not be able to meet your deadline, and apologize for any inconvenience and appreciate your understanding.
Public Service Announcement (PSA) Request Form

Contact Information


Details of the event where the PSA will be aired

(Include address, building, room number, and entrance)

PSA Script

(Script should be 30-60 seconds in length, and must be descriptive and include the name(s) and title(s) of any groups or individuals to be recognized.):

Technical Details