Screen Actors Guild Taft-Hartley Report Template
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1
2SCREEN ACTORS GUILD
TAFT-HARTLEY REPORT
Please be advised that it is the Producer’s responsibility to forward the
fully-completed
report to SAG within 15 days from the date of the first employment of a non-member.
Commercial
Corporate/Educational and Non-Broadcast
Infomercial
Other:_______________
UNION SECURITY INFORMATION
EMPLOYEE INFORMATION
Name: ______________________________________________________________ SS#:_______________________
Address: ___________________________________________________________ Date of Birth: (If minor) ______________
City: ____________________________________________ State: __________ Zip: ______________________
Phone: ___________________________________________ Work date: ___________________________________
Category:
On Camera Actor
Voice over
Stunt Performer
Singer
Dancer
Extra Performer
Hand Model
EMPLOYER INFORMATION
Signatory Company: _____________________________________________________ Phone: ________________________
Address: _____________________________________ City: ____________________State: _______ Zip: _______________
E-mail: ________________________________________ Contact Person: _________________________________________
Advertiser: _____________________________________________ Product: ________________________________________
PREFERENCE OF EMPLOYMENT INFORMATION
(Waivers for a non-member hired for his/her special skill/unusual
appearance or for giving a testimonial or endorsement are conditioned upon screening of the final edit of the commercial.)
Not applicable
Reason
:___________________________________________________________________________
_______________________________________________________________________________________________________
Shooting Location(s) - City & State
:______________________________________________________________________
Contractual Reason for Hire:
Testimonial
Special skill or ability or special or unusual physical appearance
Describe, including attempts to cast a professional performer
________________________________________________________________________________________
________________________________________________________________________________________
Child under the age of 7 (Please provide date of birth above)
First employment of a performer with sufficient professional training and/or experience who intends to
pursue career as actor
Describe training/experience (or provide resume):
________________________________________________________________________________________
Link to Internet listing of performer credits:_____________________________________________________________
Signature:
_________________________________________________________Date: ____________________________
Print Name: _________________________________
Phone ________________________
Producer
Casting Dir.
Note: Please forward the completed form to SAG in the city in which you are shooting or, if there is no office in that city, to the SAG location nearest your office.
Please see reverse for a list of SAG addresses.
Taft-Hartley Report Commercials Infomercials Corporate Educational 6.3
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