Model Identifying Information

Model is informed and understands that all information provided in this Record Keeping Compliance Form is being provided to comply with federal law and that any false or incomplete statement will subject the Model to both civil liability and federal and state criminal prosecution.

Date of Birth

Other names

Federal Law requires "Any name, other than the performer's legal name, ever used by the performer, including the performer's maiden name, alias, nickname, stage name, or professional name."
The following fields are examples, it does not matter which spot you put which entry in.

Copy of URLS

You must list every URL where the content is hosted. If no webpages yet exist you may leave it blank (as is typically the case when filming), but any future URLs created where the content is hosted must be added onto your record.

?

Read the requirements in 28 CFR § 75.2

film date

UNDER 28 U.S.C § 1746 AND THE PENALTIES OF PERJURY UNDER THE LAW OF THE UNITED STATES, I SWEAR THAT THE FOREGOING INFORMATION IS TRUE AND CORRECT AND THAT EACH OF THE IDENTIFICATION DOCUMENTS WHICH I HAVE PROVIDED WAS LAWFULLY OBTAINED BY ME AND HAS NOT BEEN FORGED OR ALTERED IN ANY WAY

MODEL SIGNATURE

Upload pictures of the model's photo ID.
Note, this should be in landscape format as portrait photos will be distorted

Picture Identification Card?

"Picture identification card means a document issued by the United States, a State government, or a political subdivision thereof, or a United States territory, that bears the photograph, the name of the individual identified, and the date of birth of that individual, and provides specific information sufficient for the issuing authority to confirm its validity, such as a passport, Permanent Resident Card (commonly known as a Green Card), or employment authorization document issued by the United States, a driver's license or other form of identification issued by a State or the District of Columbia; or a foreign government-issued equivalent of any of the documents listed above when the person who is the subject of the picture identification card is a non-U.S. citizen located outside the United States at the time of original production and the producer maintaining the required records, whether a U.S. citizen or non-U.S. citizen, is located outside the United States on the original production date. The picture identification card must be valid as of the original production date."

Secondary Model ID

Secondary photo ID is required if the photo in the primary ID is unrecognizable or out of date. Seconday photo ID is optional in other cases.

DOWNLOADING THIS DOCUMENT ALONE WILL NOT SATISFY 2257 RECORD KEEPING REQUIREMENTS

there are legal requirements on how you keep these records see 28 CFR § 75.2, § 75.3, and § 75.4 for full requirements.

This will NOT work if you have not upladed ID images