Usage request form Step 1 of 3 33% THINK! materials are available on request for road safety professionals although usage fees may apply depending on the product. What are usage costs and why are they required? A usage cost is what artists/photographers charge for the use of their properties. Usage costs are often charged when there is intent to use an advertisement in paid for media space. Even if media space is secured for free, usage costs will sometimes still apply if the ad is going to be seen in a public space, for example as posters, or on TV, radio or online. The Department for Transport (DfT) only contracts artists for specific campaign periods. All media appearances outside of these periods need to be negotiated on a case-by-case basis with the artists via their agent. Usage is payable from the first use date/showing of the material. Often DfT advertisements can be used for free when only educational use is required. Educational use is defined as: For unpaid media use in educational environments such as nurseries, schools, college and universities. For unpaid media use in public environments where road safety material might be relevant, such as police stations, police/country shows, shopping centres, doctors surgeries and libraries. For unpaid media use by private companies to use as part of their internal road safety training. In order to obtain usage permission for required materials please fill in the form below. We will aim to respond within 5 working days. An asterisk* indicates that the question is mandatory. Data protection regulations The personal data you provide is purely for the use of this service. It is held for 3 years and then deleted. Further details on DfT’s privacy policy can be found at www.gov.uk/dft/privacy-policy We will not share your information with anyone else. Your detailsYour company name*Name* First Last Company billing address*Please include Street address, Town, Postcode and Country Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Company registration number*Company VAT number*Finance contact name*Phone numberEmail address* Enter Email Confirm Email Usage detailsIntended usage*Please state which campaign and advertisement title(s) you intend to use (include as much detail as possible).How and where do you intend to use the advert?*Please select one or more of the following options below if the option is not there select other and provide detail in the following question. Television Poster Newspaper Magazine Leaflet Radio Digital Other How and where do you intend to use the advert*If you selected other in the above question please provide detail below of where you intended to use the advert: Describe in detail the proposed use for the advert, including exactly where it will be placed and how often it will be used*Describe media use*For example: paid for media, non-paid for media, educational use.Which regions/areas do you plan to use this material?*What is the full term/period of time for use of this material?*Please add any other info of relevance that might help with negotiations*