You can download individual interactive forms for future projects or use online request form below.

Music Clearance Request Form - doc | pdf
Musicology Submission Form - doc | pdf

Please read TERMS & CONDITIONS

Online Request Form

Please fill out the form and follow all instructions. If you have any questions please send an email to info@musiodata.com

Type of Request:  
Required
Title:  
Company:  
Street Address:  
City: State: Zip:
Required
Required. You can use spaces or hyphens if you wish.
Rush Priority?  
Preferred Contact Method: Phone   Email  
This Area is for Music Clearance Request Only:
I CERTIFY THAT IF THIS WORK IS REMINISCENT OF ANY OTHER KNOWN PIECE, GROUP OR SINGER, OR IF I HAVE BEEN ASKED TO CREATE MUSIC SIMILAR TO SOMETHING ELSE, I WILL INDICATE THOSE TITLES OR ARTISTS BELOW: IF NOT, CHECK HERE:
ANY SAMPLES USED MUST BE LISTED WITH SOURCE INFORMATION HERE: IF NO SAMPLES HAVE BEEN USED, CHECK HERE:
MUSIC TO BE CLEARED (LIST TITLE(S), TIME (TV/R) OR OTHER IDENTIFIERS:
This Area is for Musicology Request Only:
Please Check all that apply:
Musicology Analysis
Sample Analysis
Initial Consult 		Public Domain Research
Song License Inquiry
Litigation Matter 		Prior Art Analysis
Other
Please indicate song titles and other pertinent information:
Client:  
Product:  
Agency:  
Music Company:  
Send Bill to:  
Address:
BY CHECKING THIS BOX, I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
UNLESS INVOICE IS TO BE PAID BY ANOTHER PARTY LISTED ABOVE, I AGREE TO PAY THE APPLICABLE FEES FOR SERVICES RENDERED.
Additional Questions:  
BY CHECKING THIS BOX, I CERTIFY THAT I HAVE READ AND UNDERSTAND THE TERMS & CONDITIONS  
   

MUSICOLOGY SERVICES FOR ATTORNEYS, ADVERTISERS, MUSIC COMPANIES, FILM COMPANIES AND OTHER ENTERTAINMENT PROFESSIONALS