Use this form to share your Jefferson County disaster relief photos with the library. Your submissions help us keep records of the disaster, qualify for programs, and maintain archives about library and Jefferson County history. Please include as much information as you can about your photo. Photos may appear in digital archives and official reports.

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About Me

Name (required)

Phone Number

Email Address

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About the Photo

Name of disaster (e.g. "Hurricane Idalia") (required)

Date photo was taken (required)

People, groups, or locations in the photo

Photo description

Additional notes

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Photo release (all required)

I am the original photographer/owner of the image, and I am over 18 years old. (required)

Agree

I grant the Jefferson County R.J. Bailar Public Library (JCPL) and the County of Jefferson an irrevocable, non-exclusive, royalty-free license to use my photo, video and/or likeness for the purpose of documenting disaster relief activities and other legal purposes. I waive any right to royalties or other compensation arising or related to the use of my image or recording. I understand that I can still sell or release the image to organizations besides the library. (required)

Agree

I authorize JCPL and Jefferson County to use my photo on social media, printed media, news articles, reports and official documents, displays and exhibits, library archives, and for other legal purposes. (required)

Agree

I understand that my photo will become part of the public record. (required)

Agree

I understand that my photo may be edited, copied, exhibited, published or distributed, and I waive the right to inspect or approve the finished product wherein my photo or likeness appears. (required)

Agree

If I am in the photo, I consent to the use of my image and likeness for the purposes above.

Agree

I am not in the photo

E-Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

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Upload photo here

File Upload (required)

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Thank you for sharing your photos! Your submission makes a difference in Jefferosn County and helps us build a library archive.