HR Photo Permission Form

HR PHOTO PERMISSION FORM

Personal Information

Employee Name:

Phone:    Email:

Position Information

Reporting Manager:    Start Date:

Employment History (Most Recent)

Title:    Dates Employed: From to

Title:    Dates Employed: From to

Education

Graduation Date:

References (Professional)

Phone:    Email:

Phone:    Email:

Phone:    Email:

Photo Permission — Scope of Consent

I hereby grant the Employer the right to take, use, reproduce and publish photographs, video, and/or audio recordings of me for the uses described below. This consent includes composite or edited images and may be used in print, electronic, and digital media.

Internal communications (newsletters, intranet)

Marketing and promotional materials

Company website

Social media channels

Training and instructional materials

Recruitment and job postings

Duration of Permission:

Compensation:

Legal Terms and Release

Grant of Rights: I grant the Employer and its agents, licensees and assigns a non-exclusive, royalty-free, worldwide right to use, reproduce, distribute, publish, and display the images and recordings of me, in whole or in part, for the permitted purposes stated above. This grant includes the right to edit or alter images and to combine them with other content.

Release and Waiver: I release the Employer and its representatives from any liability, claims or demands arising out of or in connection with the use of my image or recording, including claims of defamation, invasion of privacy, or infringement of moral rights. I understand I will not receive further approval rights or additional compensation beyond what is stated in this form.

Revocation: I understand that I may revoke this consent by delivering a written notice to Human Resources. Revocation will be effective only for future uses and will not affect any uses that occurred before the Employer received the revocation. Certain uses (for example, printed materials already distributed) may not be retractable.

Confidentiality and Retention: The Employer will store image files consistent with its records retention and privacy policies. The Employer will take reasonable measures to secure files and will only retain or use images for legitimate business purposes.

Minor Consent: If the subject is under 18 years of age, a parent or legal guardian must sign this form on behalf of the minor and provide relationship and contact information below.

Yes    No

Legal Disclosures

At-Will Employment: Nothing in this photo permission form alters the at-will employment relationship between the Employee and the Employer, if applicable. Employment may be terminated at any time by either party with or without cause or notice, unless otherwise governed by a written agreement signed by authorized representatives.

Equal Opportunity: The Employer provides equal employment opportunity without regard to race, color, religion, sex, national origin, age, disability, or any other protected characteristic. The decision to use or not use any image for marketing or other purposes will not affect employment decisions.

Applicant Certification and Authorizations

I certify that all information provided on this form is true and complete to the best of my knowledge. I authorize the Employer to contact former employers and references provided above for the purposes of verifying my employment history and qualifications. I further authorize the Employer to conduct background checks, including, but not limited to, criminal history, employment verification, and education verification where permitted by law. I understand that any false statement or omission may disqualify me from employment or lead to disciplinary action up to and including termination.

I consent to the Employer contacting previous employers and references.    I consent to background checks as described above.

Acknowledgment

By signing below I acknowledge that I have read and understand the terms of this Photo Permission Form and that I have the authority to grant the rights described. I understand this form is a legally binding release of claims related to the use of my image as described herein.

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