Chicagoland Public Access Television operated by

Blank Forms

Here is a collection of the most common forms you will encounter as a public access producer.  Feel free to download these forms in order to fill them out.  You'll need to download and install Adobe Acrobat Reader in order to view these forms.

 

Timeslot Application


Timeslot Application Form

This is the form you will need to fill out to apply for a timeslot on any of our Public Access Channels. It can be mailed to the address at the bottom of the form.

Please do not send any tapes when applying for a timeslot. Many of our channels currently have a waiting list for timeslots, so please be patient. You will be contacted when there is space available on the channel requested.

Playback Form


Playback Form

This form is required for every tape you submit for playback. A separate copy needs to accompany each tape.  This form tells us what is on the tape, when it should air, and who submitted the show.

Website Description


Online Schedule Show Description Form

If you want to have a description of your show included in the playback schedule on the accesschannel.com website, you will need to fill out this form.  You can also include a picture, and a link to your informational-only website.

Talent Release


Talent Release Form

All producers are encouraged to use this form to secure permission to use their on screen talent.  By having your talent (host, guests, etc) sign this form, they consent to you using their name, likeness, picture, and/or voice in your show.

For those people who appear on your show who are under the age of 18, you will also need to secure their parent's permission.