Employee Photograph and Publicity Release Form
This Employee Photograph and Publicity Release Form allows American Health Partners, Inc. to use your likeness and image. The form outlines the rights you grant to the Company for promotional purposes. Make sure to read the form carefully before signing.
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How do I fill this out?
To fill out this form, begin by reading each section carefully to understand your rights. Provide accurate personal information in the designated fields. Finally, sign and date the form to confirm your understanding and consent.

How to fill out the Employee Photograph and Publicity Release Form?
1
Read the form thoroughly to understand its contents.
2
Fill in your name and other required personal information.
3
Review the usage rights you are granting.
4
Sign the form to indicate your consent.
5
Date the form before submission.
Who needs the Employee Photograph and Publicity Release Form?
1
Employees of American Health Partners, Inc. need to submit this form for promotional activities.
2
Contractors associated with the company may also need this form for inclusion in marketing materials.
3
Marketing departments require signed forms for using employee images in campaigns.
4
Human Resources needs this documentation for compliance purposes.
5
Any personnel involved in media production require this form to avoid legal issues.
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What are the instructions for submitting this form?
To submit this Employee Photograph and Publicity Release Form, you may email it to the HR department at hr@americanhealthpartners.com. Alternatively, you can send the completed form via fax to (555) 123-4567. For physical submission, drop off the form at 201 Jordan Road, Suite 200, Franklin, TN 37067. Ensure your form is signed and dated correctly prior to submission for timely processing.
What are the important dates for this form in 2024 and 2025?
There may be specific deadlines for submitting this form depending on company events and marketing timelines. Check with your HR department for any important submission dates for 2024 and 2025. Ensure you have your form completed well before any required due dates.

What is the purpose of this form?
The purpose of this form is to grant American Health Partners, Inc. the explicit rights to use your likeness for promotional activities. This includes, but is not limited to, use in advertising, publicity, and media releases. Understanding this form ensures that you are aware of how your images and likenesses will be utilized by the company.

Tell me about this form and its components and fields line-by-line.

- 1. Name (Printed): The name of the individual granting permission.
- 2. Signature: The handwritten signature of the individual.
- 3. Date: The date on which the form is signed.
What happens if I fail to submit this form?
If this form is not submitted, you may not be able to participate in company promotional activities. This could limit your visibility in marketing materials and potentially affect your professional representation. It is crucial to submit this form to avoid missing out on opportunities.
- Participation Issues: Lack of submission can prevent you from being featured in promotional content.
- Legal Risks: Failure to submit may expose you to legal issues if your image is used without permission.
- Employment Compliance: Not submitting may lead to non-compliance with company policies.
How do I know when to use this form?

- 1. Media Interviews: To authorize use during interviews where your image may be captured.
- 2. Company Events: To give permission for photography during corporate events.
- 3. Promotional Campaigns: To secure rights for use in marketing campaigns.
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