Taft-Hartley Report Template
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2TAFT-HARTLEY REPORT
Please be advised that it is the Producer’s responsibility to forward the fully-completed
report to SAG-AFTRA 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: ________________________ E-mail:________________________________ Work date: __________________
Category:
On Camera Actor/Announcer
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/Recording 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-AFTRA in the city in which you are shooting or, if there is no office in that city, to the SAG-AFTRA location nearest your office.
Please see reverse for a list of SAG-AFTRA addresses.
Taft Hartley Report Commercials Informercials Corporate Educational 6.3
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