This is an agreement between a production company and a party submitting an idea. If
the production company uses the idea, the submitting party will be entitled to
compensation. The submitting party agrees to release the production company against
all claims by executing this agreement. In addition, the submitting party certifies that
they are the original author of the idea and agree to indemnify the production company
against any claims or losses. This agreement can be used by small businesses or other
entities that are production companies and want to review a submitted idea without
exposing themselves to any liability.
Name: ____________ [Instruction: Insert Submitter Name]
Address: _____________[Instruction: Insert Address 1]
City, State, Zip Code:__________ [Instruction: Insert Address 2]
Phone Number:__________ [Instruction: Insert Phone Number]
Email Address: :__________ [Instruction: Insert Email Address]
Date: _________________ [Instruction: Insert Date]
RE: SUBMISSION RELEASE FORM
To Whom It May Concern:
I, _________________ [Instruction: Insert Submitter Name], am submitting the following
[Instruction: Insert Description of Materials Submitted] ("Materials") to
_____________________________ [Instruction: Insert Production Company Name]
(hereinafter referred to as “Company”).
The material is submitted on the following conditions:
1. I hereby grant Company the right to read and evaluate the Material. I understand such
evaluation is a subjective process, allowing for reasonable disagreement as to the relative merits
of the material. I also understand that the evaluation may or may not be complimentary or
positive in its judgment. That said, I request that Company read and evaluate the Material to
decide whether Company will undertake to acquire it. I understand that Company shall have no
obligation to evaluate the Material or to inform me of Company’s evaluation, if any.
2. I acknowledge that because of Company’s position in the entertainment industry
Company may receive numerous submissions of ideas, formats, stories, suggestions and the like.
I understand that many such submissions received by Company are similar to or identical to
those developed by Company or otherwise available to the Company.
3. I agree that I will not be entitled to any compensation because of the use by Company of
any such similar or identical material. I hereby release the Company for any and all claims,
liabilities and demands that may be made by me asserting that the Company has used or
appropriated the material.
4. I understand that in absence of my full acceptance of each and all the provisions of this
agreement, Company would refuse to accept and evaluate the material.
5. I shall retain all rights to submit this or similar material to persons other than Company. I
acknowledge that no fiduciary or confidential relationship exists between Company and me, by
reason of this agreement or by reason of my submission to Company of the Material.
6. I represent and warrant that: (A) I am the author of the material; (B) I am the present and
sole owner of all rights, titles and interests in and to the material; (C) I have the exclusive,
unconditional right and authority to submit and/or convey the material to Company upon the
terms and conditions set forth in this Agreement; (D) that no third party is entitled to any
payment or other consideration as a condition of the exploitation of the Material; and (E) the
material does not and will not infringe upon or violate any copyright of, or infringe upon or
violate the right of privacy or any other right of any person.
7. I agree to indemnify and hold Company harmless from and against any and all claims,
costs, losses, or liabilities (including, reasonable attorneys' fees and punitive damages), expenses
suffered or incurred by Company in connection with any breach or alleged breach of the
warranties and of the representations, warranties and agreements made by me herein, excluding
any claims based on fraud or wilful injury on Company’s part.
8. I acknowledge that the Company recommends that I copyright the Property with the
United States Copyright Office and/or register the Property with the Writer’s Guild of America. I
also acknowledge that it is my responsibility to copyright or register the Property prior to
submitting it to the Company and hereby release the Company and its affiliates from any claims
that arise from my failure to do so.
9. Company may use, without any obligation or payment to me, any of the Material which
is not protectable under the laws of copyright including but not limited to ideas, historical or
factual matters or other public domain elements of property or which a third person would be
free to use if the material had not been submitted to him or had not been the subject of any
agreement with him, or which is in the public domain. Any of the Material which, in accordance
with the preceding sentence, Company is entitled to use without obligation to me is hereinafter
referred to as "Unprotected Material." If all or any part of said Material does not fall in the
category of Unprotected Material it is hereinafter referred to as "Protected Material"
10. Company agrees that if Company uses or cause to be used any of the Protected Material,
provided said Protected Material has not been obtained or independently created by another
source, Company agrees to negotiate with me in good faith regarding the payment of a fee (the
“Protected Material Fee”) with respect to the use of the Protected Material. The Protected
Material Fee shall be based upon the reasonable value of a non-exclusive license covering the
amount of the Protected Material actua