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Interview Release Form |
The interview release form is a document that is used for the purpose of obtaining permission from a person or persons who would be interviewed for subjects that would be used for public consumption. The interviewee, sign the form, so that the interviewer and or film company, would sign the form, releasing the interviewer/film company from provision of any compensation and will grant permission to use their image or likeness in their projects, that may well end up in public venue.
Although the form does, basically, request unfettered permission to use the images and likenesses as the interviewer and/or film company, the form does offer the signatory, the opportunity to state any restrictions that the individual(s) require, in order to be part of the filmed document. Read carefully through the document before completing and signing.
How to Write
Step 1 – Download in Adobe PDF (.pdf).
Step 2 – Parties and Project Information – Submit the following:
- The Project name
- Project date in mm/dd/yyyy format
- Name of the interviewer
- The project’s file name(s)
- The name(s) of the person(s) interviewed
- The address where the project is taking place
- Telephone number(s)
- Date(s) of Birth in mm/dd/yyyy format
- The interviewee(s) must read the brief paragraph
Step 3 – Signature – Read the statement of agreement and enter:
- Interviewee’s Printed name
- Signature
- Date of signature in mm/dd/yyyy format
- Researcher’s Signature
- Date of the researcher’s signature in mm/dd/yyyy format
- Restriction Description –
The subject of the interview should carefully consider this section before handing it over as permission to film, photograph or provide audio. Take time to think about what may not be comfortable to the subject, with regard to appearance or the subject matter. If the subject is open to all aspects of the interview, then they may not have any restrictions. If there are any wishes that the subject would like to express with regard to restrictions, prior to the time that the interview actually takes place, place that information on the document. If more space is needed, add a sheet, complete it, sign and date it and attach it to the document for the interviewer’s/researcher’s/film company’s review.
The document should be copied and provided to all signatories for record keeping purposes.
