FCPS Logo Usage Request Form

FCPS Form 200-20F
Regulation 200-20
May 2025

1. Name of Organization or Individual Requesting Logo Usage
2. Contact Information 2. Contact Information
Street Address Address Line 2 City State / Province / Region Postal / Zip Code
Contact Phone Contact Phone - ### - ### ####
Contact Email
3. Logo(s) requested to use:
If "Other" please describe the logo requested:
4. Describe how the logo will be used (e.g., signage, clothing, print). Include details and drawings if applicable.
5. Describe intended purpose for using the logo.
6. Time period requested Start Date 6. Time period requested Start Date / MM / DD YYYY
Time period requested End Date Time period requested End Date / MM / DD YYYY
7. Is logo being used for commercial gain?

7. Is logo being used for commercial gain? Yes No
8. If you answered ‘yes’ to question 7, has licensing agreement been obtained from FCPS Chief of Staff and/or Legal Counsel?

8. If you answered ‘yes’ to question 7, has licensing agreement been obtained from FCPS Chief of Staff and/or Legal Counsel? Yes No
9. If you answered ‘yes’ to question 8, which FCPS office did you contact to obtain the licensing agreement?

9. If you answered ‘yes’ to question 8, which FCPS office did you contact to obtain the licensing agreement? Chief of Staff Legal Counsel