Employee Photo Release

EMPLOYEE PHOTO RELEASE

Parties and Identification

Employer Name:

Employee Name:

Position Information

Reporting Manager:   Start Date:

Photography/Media Authorization

I hereby grant to (the "Employer") the irrevocable and unrestricted right to take, use, reproduce, distribute, display, and create derivative works of the following media that depict my image, voice, likeness, and performance:

Types of media (check all that apply): Photographs
Video recordings
Audio recordings
Stills extracted from video

Permitted Uses, Territory, and Duration

Permitted uses (check all applicable):
Advertising, marketing, and promotional materials
Training, internal presentations, and onboarding
Company websites and intranet
Social media channels and digital advertising
Print publications and signage

Territory:    Duration: Perpetual    If not perpetual, end date:

Consideration and Compensation

In consideration for this Release, the parties agree that:

If specific monetary compensation is provided, enter amount:

Release, Waiver and Indemnity

Employee forever releases and discharges Employer, its affiliates, licensees, successors, assigns, employees and agents from any and all claims, demands, liabilities, damages or causes of action of any kind arising out of or relating to the use of the Media, including without limitation claims for invasion of privacy, defamation, misappropriation of likeness, or violation of moral rights. Employee agrees to indemnify and hold Employer harmless from third-party claims resulting from Employee's representations or warranties herein.

Warranties and Representations

Employee represents and warrants that Employee has full right and authority to grant the rights granted hereunder, that no further consents are required from any other person or entity, and that Employee has not assigned or encumbered any rights in the Media that would conflict with this Release.

Revocation and Limitations

Employee may revoke this Release only by providing written notice to Employer at the address above. Such revocation shall be effective prospectively only and shall not invalidate uses of the Media made prior to receipt of the revocation. Employer may retain and continue to use any Media created and distributed prior to receipt of notice.

Confidentiality and Protected Information

Media will not intentionally disclose confidential or proprietary information of Employee. If Employee reasonably believes that a specific image or recording contains confidential personal information, Employee shall identify such material in writing and submit to Employer for review.

Employment History (for records)

Employer 1

Dates Employed: From to

Employer 2

Dates Employed: From to

Education

Graduation Date:

References

Reference 1

Reference 2

Reference 3

Legal Disclosures and Authorizations

At-Will Employment: Employee acknowledges that participation in photography or media activities does not alter the at-will nature of employment, unless a separate written agreement signed by authorized Employer representative expressly states otherwise.

Equal Opportunity: Employer is an equal opportunity employer and does not discriminate in employment decisions or media usage on the basis of protected categories. Media use will comply with applicable non-discrimination obligations.

Background/Reference Authorization: Employee authorizes Employer to contact prior employers and references listed above for the purpose of verifying employment history and references in connection with Employer records. Employee also authorizes any background checks permitted by law, subject to separate notice and consent if required.

Applicant Certification

I certify that all information provided in this form is true, complete, and correct to the best of my knowledge. I understand that false statements may result in disciplinary action up to and including termination. I understand that by signing below I authorize the Employer to use media as set forth in this Release and acknowledge that I will not be entitled to any additional compensation for such use unless otherwise specified herein.

Additional Provisions

Modifications: Any amendment to this Release must be in writing and signed by both Employee and an authorized representative of Employer. Governing Law: This Release shall be governed by the laws of the jurisdiction in which Employer's principal place of business is located, without regard to conflict of law principles.

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