COMPLETION REPORT FORM

AGENCY INFORMATION

Name:

Address:

Report Date:

Prepared By:

Phone:

Email:*

PRODUCTION INFORMATION

Client:

Job Number:

Product:

Agency Producer:

Media:

Commercial Type:

Union:

Production Company:

O/C Film Date & City:

VO Record Date & City:

Singer Record Date & City:

Music Record Date & City:

COMMERCIAL INFORMATION

Version:

Code Number:

Title:

Length:

Editing Provision:

AFM Contract:

CONTACT INFORMATION

First Fixed Cycle:

MPU:

Earliest Expiry:

OC Lifted/Integrated From:

VO Lifted From:

MUSIC INFORMATION

AFM Contract:

Track:

On Main Commercial:

On Allowable Edit:

Music House:

Composition Name:

TALENT INFORMATION

Name:

Version(s):

Cat/Cam:

Role:

Agent:

Compensation/Notes:

DOWNGRADE/OUTGRADE

Name:

Downgrade/Outgrade:

Instructions:

Comments:

EXTRAS

Name:

Integration Fee?:

Comments:

OTHER ASSETS (stock footage, licensed music, etc.)

Type:

Source:

Licensing Terms Start Date:

Licensing Terms End Date:

COMMENTS

Authorized Signature:

Submit completed form to EMS by fax or click send to email. Via fax 214-637-0635