Copyright Request Form

Music Licensing Request Form
Requestor Information
Thank you for your interest in using my music! Please complete the form below to request a license for your project. All fields are required unless marked optional. I’ll review your submission and respond within 2–3 business days with proposed licensing terms and a draft agreement. For more details, see my Music Licensing Information page.
Your Name*

First NameLast Name
Company/Organization
Job Title
Email Address*
example@example.com
Contact Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Project Details

Please provide information about the content to be referred.
Project Title or Concept*
Project Type*

Commercial (e.g., ad, film, monetized video)Non-Commercial (e.g., personal video, church usage, student project)Other (please specify)
Description of Music Use*
Medium/Platform*

Online Streaming (e.g., YouTube, Vimeo)Social Media (e.g., Instagram, TikTok)Film or TVLive EventRadio or PodcastOther (Please specify)
Territory*

Worldwide (online)Specific VenueOther
Please specify the territory where it is to be used. If used online, specify the platforms (e.g., YouTube, TikTok). For local events like meetings, concerts, or church services, please specify the venue's name and location (city, state, or region).*
If used for YouTube or Social Media, share you channel name or URL
Expected Audience Size (for online streaming use number of subscribers)
Duration of Use*
If you chose "Specific Duration" above, what is the duration?
Credit Preference*

I agree to credit the artist (e.g., “Music by [Your Name]” in video description or credits)I prefer not to provide credit (may affect licensing terms)
Song Selection

If you need help, look through my music catalog at https://skmurray.com/youtube—use the title, URL, or describe your preferred style.
Song Title or URL. You can also describe what you need if you are unsure.*
Type of License Needed*

Musical Composition (songwriting/lyrics)Sound Recording (specific recording)BothOther
Budget
Proposed Licensing Budget
Additional Notes on Budget
Additional Comments

If there is any information you would like to add for consideration, please enter it below. Feel free to comment about project deadlines, special requests, or questions about terms.
Any Additional Details
Submission
By submitting this form, you acknowledge that:
- All music is copyrighted, and use requires a signed licensing agreement.
- The information provided will be used to draft a licensing agreement, subject to approval.
- You agree to comply with the terms outlined in the final agreement.
Expected Selling Price
Please verify that you are human*
Should be Empty:

Music Licensing Request Form

Requestor Information

Project Details

Song Selection

Budget

Additional Comments

Submission