LOGO AUTHORIZATION AND RELEASE FORM
Coalition to Protect Community Services
California Joint Powers Insurance Authority
Purpose. The undersigned organization hereby grants permission to the California Joint Powers Insurance Authority ("California JPIA") and the Coalition to Protect Community Services to display the organization's official logo on coalition correspondence, letters of support and related legislative advocacy materials submitted to members of the California Legislature and other government officials.
This authorization is limited to the specific use described below.
AUTHORIZING ORGANIZATION
Organization Name
Organization Type (City /
Special District / Other)
Authorized Representative
Title / Position
Phone Number
Email Address
LOGO SUBMISSION
Please provide a high-resolution version of your organization’s official logo by email to:
TERMS OF USE
1. The logo will be used solely to identify the organization as a coalition supporter and will not be altered, distorted, or combined with other imagery in a manner that misrepresents the organization.
2. Use is limited to the Coalition to Protect Community Services legislative advocacy campaign and associated materials presented to the California Legislature and state government officials.
3. The California JPIA will remove the logo upon written request from the authorizing organization.
Requests should be directed to [email protected].
4. This authorization does not imply endorsement of any specific legislation beyond the coalition’s stated principles-based advocacy.
5. The authorizing organization represents that it has authority to grant permission for use of its logo.
AUTHORIZATION
By signing below, the authorized representative confirms they have the authority to grant this logo use permission on behalf of the organization named above.
_______________________________________________________ Signature
_______________________________________________________ Printed Name
_______________________________________________________ Title
_______________________________________________________ Date
Please return this completed form by email to:
[email protected]
Questions? Contact Tim Townsend at Bryant Government Affairs