In this work we investigate the matrix elements of the energy-momentum tensor for massless on-shell states in four-dimensional unitary, local, and Poincare covariant quantum field theories. We demonstrate that these matrix elements can be parametrised in terms of covariant multipoles of the Lorentz generators, and that this gives rise to a form factor decomposition in which the helicity dependence of the states is factorised. Using this decomposition we go on to explore some of the consequences for conformal field theories, deriving the explicit analytic conditions imposed by conformal symmetry, and using examples to illustrate that they uniquely fix the form of the matrix elements. We also provide new insights into the constraints imposed by the existence of massless particles, showing in particular that massless free theories are necessarily conformal.