SAG-AFTRA Signatory Application

SCREEN ACTORS GUILD-AMERICAN FEDERATION OF TELEVISION AND RADIO ARTISTS
SIGNATORY APPLICATION

Submit this form at least 3 weeks before the first travel, rehearsal or shoot date (whichever is earliest)
Form_ID
Form_Version
Your Information
Name*

First NameLast Name
Email*
example@example.com
Phone

Country Code (US = 01)Area CodePhone Number

SIGNATORY INFORMATION
IndividualCorporationLLCPartnershipOther
*Producers under the Student Film Agreement must sign as Individuals.
Signatory Name*

First NameLast Name
Signatory Company*
Please enter the company name exactly it appears on your supporting documents.
Email*
example@example.com
Phone*

Country Code (US = 01)Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Federal ID#*
Company State of Formation*
Signatory Documents*

Please attach all company formation documents for the signatory production company.
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Photo ID*

Please attach the government issued photo ID for the signatory producer.
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Please enter the name of the Producer Portal Admin below. By entering a name below, you represent and warrant the named person is authorized by the signatory individual/company to delegate user access to signatory and production information and documents via the SAG-AFTRA Producer Portal.
Producer Admin Name*

First NameLast Name
Producer Admin Email*
example@example.com

PROJECT FINANCES
Total Budget*
YesNo
YesNo
Performer Budget*
Please include deferred payments for New Media, Student, or SPA agreements.
Background Actor Budget
Payroll House (Principals):*
Contact*
Phone*
Payroll House (Background)
Contact
Phone
Bank Name
Branch
Staff Referral
Line-Item Budget*

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FILM SCHOOL DETAILS
YesNo
Name of the Film School*
Professor's Name*

First NameLast Name
Professor's Email*
example@example.com

INSURANCE CARRIERS
Workers’ Compensation*
Airline (as applicable)
Public Liability/Disability
Errors and Omissions

OWNERSHIP
Current Owner(s) of Project*
Future Owner(s) of Project*
Current security interest, lien holder(s)*
Future security interest, lien holder(s)*
Chain-of-Title Docs*

Please attach all Chain-of-Title documents, including those recorded and not recorded with the United States Copyright Office (USCO), and Proof of USCO Registration - Form PA, proof of payment & mailing OR Form eCO, two emails from the USCO confirming upload and payment.
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PRE-PRODUCTION CAST LIST
I will enter my known cast into this online form.I will upload a Pre-Production document here.
Cast List (include all known roles and only enter the performer names and enter performer names and IDs as "TBD" for all roles not yet cast.)(Please list all performers regardless of union affiliation, citizenship, or residency)*
Cast List*

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You can download our template Pre-Production Cast List here.

CERTIFICATION BY AUTHORIZED REPRESENTATIVE
The undersigned, by signing below, certifies, represents and warrants that: (a) s/he has the requisite power and authority to sign this document on behalf of the Signatory Company; (b) s/he reviewed the foregoing information; and (c) such information is complete, true and accurate to the best of her/his knowledge. Further, the undersigned acknowledges and agrees any omission, misrepresentation or false statement of fact knowingly made herein and material to the financial assurances delivered by the Signatory Company to SAG-AFTRA will constitute a default under the Theatrical Adherence Letter applicable to this project. A scanned or electronic signature has the same force and effect as an original signature.
Signatory Company
If this Signatory Company name is inaccurate, please return to the Signatory Info page and update the company's name.
Printed Name*
Title*
e.g. "Line-Producer", "Producer", etc.
Signature*

Clear
Date

MonthDayYear
Date Submitted
Remote Work Safety Confirmation
Production must comply with both CDC and OSHA workplace requirements, Federal, State, County, and City guidelines regarding hazards in the workplace for COVID‐19, along with the Return to Work Agreement effective as of September 21, 2020 (as applicably modified by The Safe Way Forward).

PLEASE REVIEW THE DOCUMENTS LINKED BELOW:

Return to Work Agreement

The Joint Unions Document – “The Safe Way Forward”

COVID‐19 Safety Protocols: Singers

SAG‐AFTRA Resources and Downloads

You have represented that your project is being recorded in a manner that does not require individuals to come into contact with any other individuals, and as such SAG-AFTRA does not have further questions regarding your COVID-19 Safety Protocols at this time. SAG-AFTRA reserves the right to request additional information regarding your COVID-19 Safety Protocols, at our sole discretion.

In the event that your plans change with respect to how you will record your project, you agree to notify SAG-AFTRA immediately.

By signing below, you certify that all information set forth and all representations and agreements made herein are true and correct. If you are signing on behalf of a company, you further certify that you are empowered and authorized to make these representations on the company’s behalf.
Printed Name*
Title*
e.g. "Line-Producer", "Producer", etc.
Signature*

Clear
Date

MonthDayYear
Date Submitted
Should be Empty:

SCREEN ACTORS GUILD-AMERICAN FEDERATION OF TELEVISION AND RADIO ARTISTS

SIGNATORY APPLICATION

Your Information

PROJECT INFORMATION

SIGNATORY INFORMATION

PROJECT FINANCES

PRODUCTION DETAILS

FILM SCHOOL DETAILS

INSURANCE CARRIERS

OWNERSHIP

FINANCIERS

DISTRIBUTORS & SALES AGENTS

PRE-PRODUCTION CAST LIST

CERTIFICATION BY AUTHORIZED REPRESENTATIVE

Remote Work Safety Confirmation