Stock Media Licensing Earnings Report Form
Use this form to report licensing earnings for your stock media assets during a selected reporting period.
Contributor and Report Details
Contributor Name
*
First Name
Last Name
Contributor Email
*
example@example.com
Contributor ID / Code
Reporting Period Start Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reporting Period End Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Report Submission Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Platform or Marketplace Name
*
Please Select
Adobe Stock
Shutterstock
Getty Images
iStock
Envato Elements
Other
Licensing Earnings Breakdown
Media Asset Title or Asset ID
*
Asset Type
*
Photo
Video
Illustration
Audio
Template
Other
License Type
*
Standard
Extended
Editorial
Subscription
Other
Number of Licenses / Sales
*
Gross Earnings Amount
*
Currency
*
Please Select
USD
EUR
GBP
CAD
AUD
Other
Deductions / Fees / Commission Amount
Net Earnings Amount
*
Payout Status
*
Unpaid
Pending
Paid
Partially Paid
Supporting Notes or Discrepancy Explanation
Submission Confirmation
Confirmation of Accuracy
*
I confirm that the reported earnings and license details are accurate to the best of my knowledge.
Typed Full Name (Optional Formal Acknowledgment)
First Name
Middle Name
Last Name
Submit Report
Should be Empty: