A media request form covers contact details, the enquiry context, target outlets and languages, the support needed, and the deadline.
A journalist calls, an inbox pings, and one clumsy line can turn into a headline that sticks. A media request form gives a press office the basics up front so the first reply stays controlled, the right person speaks, and the story doesn’t get shaped by guesswork. The questions sit under Space Grotesk headings with gold and indigo accents, so the page reads like a set of clear statements rather than a splashy headline.
The form opens with Media Request Form, then How we work spells out setup and handover billing (25% to start, 75% at handover) plus 7 day payment terms. After that, the questions collect the caller-ready message and spokesperson, which outlets or journalists matter and why, and which languages the release and materials need to be prepared in, including Japanese, English, or both... then the form closes by asking what press office support is needed and when the work has to be completed.
- Media Request Form Sets the context for the enquiry or story so the request gets read the right way from the start.
- How we work States the setup and handover split (25% then 75%) and the 7 day invoice payment term.
- Contact details Collects name, email address, and an optional phone number for follow-up.
- Call handling Asks what should be said if a reporter calls right now and who should answer.
- Brief and deadline Captures target outlets, required languages, the support requested, and the completion date.
Once the form is in Plutio, the requester fills it in and the responses land in one place, ready for follow-up questions and a proposal for press office support.
We went from spending hours on every proposal to creating fully customized ones in under 5 minutes. That's not an exaggeration - we timed it.
What to include in a media request form
| Part | What it covers |
|---|
Media Request Form | A short intro that frames the kind of media enquiry the form is collecting and what happens after the answers come in. |
Your name | A required name field so the press office knows who the request is coming from. |
Email address | A required email address for replies and clarifying questions. |
Phone number | An optional phone number in case the fastest way to confirm details is a call. |
How we work | A written note with the billing split for press office support setup and handover, plus 7 day payment terms. |
If a reporter calls right now, what should we say and who answers? | A required prompt that locks in the approved message and the spokesperson before anyone replies under pressure. |
Which outlets or journalists should we pitch, and why them? | A space to name target outlets or journalists and the reason each one matters for the story. |
Which languages should we prepare the release and materials in? | A required language selector for the release and materials, including Japanese, English, both, or another language with notes. |
What specific press office support do you want from us? | A required description of the press office support needed so the scope can be priced and planned accurately. |
When do you need this completed by? | A required date field for the deadline the work has to be completed by. |
Who it is for
Press offices, PR consultants, media relations teams, and crisis communications advisers who need a structured brief before handling an enquiry.
The form in full
Media Request Form
Use this form to tell us the media enquiry or story you need handled. We will read your answers, contact you with any questions, and send a proposal for press office support.
- Your name (required)
- Email address (required)
- Phone number
How we work
Press office support: setup invoiced 25% to start, 75% at handover; invoices payable within 7 days.
- If a reporter calls right now, what should we say and who answers? (required)
- Which outlets or journalists should we pitch, and why them?
- Which languages should we prepare the release and materials in? (required)
- Japanese
- English
- Both Japanese and English
- Other (please explain in the notes)
- What specific press office support do you want from us? (required)
- When do you need this completed by? (required)
