clearance_report

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CURRENT VIDEO SUBMISSION CLEARANCE REPORT Tape Log Identify by Time Code and Release # the first time each person depicted in the Submission appears, unless the person appears as incidental background or part of a crowd. (Also, make sure each person appearing in the video has signed the Release): Name 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. Form may be reproduced, if necessary. Brief Description Release # Time Code CURRENT VIDEO SUBMISSION CLEARANCE REPORT Work Log For each individual who worked on the Submission, identify the person and the corresponding Release # and list a brief description of all work performed: (e.g., camera operator, edited, wrote script, etc.) Name 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. Form may be reproduced, if necessary. Brief Description Release # clearance_report.DOC

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