Script Clearance Startup Sheet

All fields are required.

Production Company Name

Address

Phone

Fax

E-mail

Prod. Accountant name and phone (if different)

Parent Company Name

Contact Person

Title of Project:

Format

Have we worked with you before? If so, please state the project:

If we haven't worked with you before, how did you hear about us?

Is the script/ story fictional, based on fact or based on another source (book, etc.)? Are any of the characters, situations or facts in the script based on real people, actual events or other recognizable sources?:

Will you be using any footage from another production? If so, please identify the source:

Script Locale / Time period:
(City, country and date in which your script/story is set)

Author name, date and version of script you will be submitting:

Turnaround Time:

Name of Production Legal Counsel / Lawyer:

Do you need any of these additional services?

A Title Report: Yes

Permissions for use of featured brands, trademarked items, products, artwork, or props: Yes