Employee Photo Newsletter Release Form
Please complete this form to grant permission for the use of your photo in company newsletters and related communications.
Full Name
*
First Name
Last Name
Employee ID (if applicable)
Department
*
Please Select
Human Resources
Marketing
Sales
IT
Finance
Operations
Other
Work Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Upload Your Photo
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Preferred Name (for publication, if different)
May we use your photo in printed newsletters as well as digital newsletters?
*
Yes, both printed and digital newsletters
Only digital newsletters
Only printed newsletters
Are there any restrictions or additional notes regarding the use of your photo?
Signature (please sign below to confirm your consent)
*
Submit Release
Submit Release
Should be Empty: