Employee Photo Consent

EMPLOYEE PHOTO CONSENT

Employee Name:   Employee ID:

Personal Information

Position Information

Reporting Manager:   Start Date:

Employment History

Education

Professional References

Photo Consent — Scope and Uses

I authorize the employer to photograph and/or record video of me and to use such photographs, video, and audio (collectively, the Materials) for internal and external business purposes consistent with the business operations of the employer. I understand the Materials may be used indefinitely unless limited below.

Permitted uses (check all that apply):

  Internal communications (newsletters, intranet, training)

  Marketing and promotional materials (print and digital)

  Social media posts and campaigns

  Company website and career pages

  Press releases and media distribution

  Training programs and educational materials

  Distribution to authorized third parties for promotional or business purposes

Use of employee name with Materials:   I consent to use my name in connection with the Materials.

Duration of consent:   This consent is perpetual and may be used indefinitely.

  Consent is limited until (checking limited consent and entering a date limits use to Materials created on or before the date entered).

Release, Waiver, and Compensation

I grant the employer and its subsidiaries, affiliates, licensees, successors and assigns a non-exclusive, royalty-free, transferable, worldwide right to reproduce, distribute, display, perform, transmit, adapt and otherwise use the Materials in connection with any legitimate business purpose. I waive any right to inspect or approve the final Materials or their use.

I understand that I will receive no compensation for the use of the Materials unless otherwise agreed in writing. I release and hold harmless the employer and its representatives from any claims, demands, or causes of action arising out of the use of the Materials, including but not limited to claims of defamation, invasion of privacy, or infringement of moral rights.

  I acknowledge that I will receive no compensation for the Materials.

  I release the employer from claims arising from permitted uses of the Materials.

Revocation, Retention, and Privacy

Revocation: I understand that I may revoke this consent by providing written notice to Human Resources. Revocation will not apply retroactively to Materials already used or distributed in reliance on this consent, and the employer may continue to use copies of Materials created prior to receipt of revocation. Revocation requests must include a dated signature and will be effective upon receipt by HR.

Retention: The employer will retain Materials as required for legitimate business purposes and recordkeeping. The employer will store Materials consistent with applicable privacy and data protection obligations.

Legal Disclosures

At-Will Employment: Nothing in this form modifies the at-will employment relationship. Employment remains subject to termination by either party at any time, with or without cause, unless an express agreement states otherwise in writing.

Equal Opportunity: The employer is an equal opportunity employer. All employment-related decisions are made without regard to protected characteristics under applicable law.

Applicant Certification and Authorizations

  I certify that all information provided on this form is true and complete to the best of my knowledge. I understand that falsification or omission of material facts may result in disciplinary action up to and including termination.

  I authorize the employer to contact my previous employers and references listed above for verification and to conduct background checks where permitted by law in connection with my employment and the purposes of this consent.

Additional Comments (optional)

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