Fillable THEATRICAL/TELEVISION TAFT-HARTLEY REPORT (PRINCIPALS ONLY) EMPLOYEE INFORMATION (SAG-AFTRA)

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THEATRICAL/TELEVISION TAFT-HARTLEY REPORT (PRINCIPALS ONLY) EMPLOYEE INFORMATION (SAG-AFTRA)

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THEATRICAL/TELEVISION TAFT-HARTLEY REPORT
(PRINCIPALS ONLY)
Please be advised that it is the Producer’s responsibility to complete this report in its entirety or it will be returned for completion. This report must be
submitted to SAG-AFTRA within 15 days from the date of the first employment of a non-member (25 days if on an overnight location).
Resume
Photo
EMPLOYEE INFORMATION
*Name:
*
SS#:
*Address:
*
Date
of
Birth:
(If
minor)
City:
Phone:
State: Zip:
Work
date:
E-mail:
___________________________________
EMPLOYER INFORMATION
Signatory
Name:
Phone:
Address:
City:
_State:
Zip:
E-mail:
Contact
Person:
*EMPLOYMENT INFORMATION
CONTRACT TYPE ENGAGEMENT CONTRACT PERFORMER CATEGORY
Theatrical
Daily
Actor Stunt
Television 3-Day (TV only) Singer
Stunt Coordinator
Weekly
Dancer
Other:
Work
Date(s):
Production
#:
Production
Title:
Shooting
Locations(s)
(City
&
State):
Reason for Hire: PLEASE COMPLETE REVERSE SIDE AND ATTACH APPROPRIATE DOCUMENTATION *
Employer is aware of General Provision, Section 14 of the Basic Agreement, as amended, that applies to Theatrical and
Television production, wherein Preference of Employment shall be given to qualified professional actors (except as
otherwise stated). Employer will pay to SAG-AFTRA, as liquidated damages, the sums indicated for each breach by the
Employer of any provision of those sections.
Signature:
_Date:
Print
Name:
Producer
Casting
Dir.
Phone:
Note: Please forward the completed form to SAG-AFTRA in the city in which you are shooting or, if there is no local office in that city, to the SAG-
AFTRA office nearest your location. Please see attached list of SAG-AFTRA local offices. If sending to the Hollywood Office, send to the
appropriate department as follows: Principal Performers for Theatrical motion pictures – Attn: Theatrical Dept.
Principal Performers for Television programs – Attn: Television Dept.
*Required Information
Taft Hartley Report Principals 6.1
Updated 8.27.15
1 of 3
Reason for
Hire
(Check Appropriate
Box)
Member of recognized “name” specialty group (Attach documentation and photo)
Important, famous, well-known or unique persons portraying themselves (Attach
photo and bio)
Background actor adjusted for non-script lines (Attach photo)
Military or other government personnel used due to governmental restrictions (Describe restrictions below)
Special skill or unique physical appearance. (Describe skill below or attach photo)
First employment of a person who has training/experience as a professional performer and intends to pursue a
career as a motion picture performer (Attach photo and resume)
Child under the age of 18 (State age and attach photo)
Owner or operator of special or unique vehicle or equipment (Describe below and attach photo)
Employed as stunt coordinator (Attach photo and resume)
Employed as body double for scenes requiring nudity or sexual conduct (Attach photo)
Other (Describe reason for hire below and attach photo and resume
Taft Hartley Report Principals 6.1
Updated 8.27.15
2 of 3
5757 Wilshire Blvd.
Los Angeles, CA 90036
Phone: (323) 954-1600
1900 Broadway, 5th Floor
New York, NY 10023
Phone: (212) 944-1030
(all contract services covered by LA)
5757 Wilshire Blvd.
Los Angeles, CA 90036
20 Park Plaza, Suite 822
Boston, MA 02116-4399
Phone: (617) 262-8001
455 E. Paces Ferry Road NE, Suite 334
Atlanta, GA 30305
Phone: (404) 239-0131
(all contract services covered by LA)
5757 Wilshire Blvd.
Los Angeles, CA 90036
1 East Erie, Suite 650
Chicago, IL 60611
Phone: (312) 573-8081
(all contract services covered by Miami)
3470 N. W. 82
ND
Ave., Suite 780
Doral, FL 33122
(all contract services covered by LA)
5757 Wilshire Blvd.
Los Angeles, CA 90036
625 Stanwix Street, Ste. 2007
Pittsburgh, PA 15222
Phone: (412) 281-6767
15110 Dallas Parkway, Suite 440
Dallas, TX 75248
230 South Broad Street, Ste. 500
Philadelphia, PA 19102-1229
949 Kapi’olani Blvd, Suite 105
Honolulu, HI 96814
Phone: (808) 596-0388
(all contract services covered by Seattle)
123 Bolston Ave. East, Suite A
Seattle, WA 98102
(all contract services covered by Dallas-Ft. Worth)
15110 Dallas Parkway, Suite 440
Dallas, TX 75248
(all contract services covered by LA)
5757 Wilshire Blvd.
Los Angeles, CA 90036
3470 N. W. 82
ND
Ave., Suite 780
Doral, FL 33122
350 Sansome Street #900
San Francisco, CA 94104
(all contract services covered by Chicago)
1 East Erie, Suite 650
Chicago, IL 60611
123 Bolston Ave. East, Suite A
Seattle, WA 98102
Phone: (206) 282-2506
911 Washington Ave., Suite 207
St. Louis, MO 63101
Phone: (314) 231-8410
(all contract services covered by Chicago)
1 East Erie, Suite 650
Chicago, IL 60611
PO Box 121087, 1108 17th Ave. South
Nashville, TN 37212
Phone: (615) 327-2944
7735 Old Georgetown Road, Suite 950
Bethesda, MD 20814
Phone: (301) 657-2560
(all contract services covered by LA)
5757 Wilshire Blvd.
Los Angeles, CA 90036
Taft Hartley Report Principals 6.1
Updated 8.27.15
3 of 3
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THEATRICALTELEVISION TAFT-HARTLEY REPORT (PRINCIPALS ONLY) EMPLOYEE INFORMATION (SAG-AFTRA)

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Completed 28 September 2021

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