Washington Mid-Atlanic SAG-AFTRA Production Report

7735 Old Georgetown Rd. Suite 950, Bethesda, MD 20814

Production Report

Performer's Name:

Phone Number:

Social Security Number (last 4 digits only): XXX-XX-

E-mail Address:

Hours Worked/Rehearsal: TO

Agent:

CATEGORY

Announcer/Narrator/Off-Camera On-Camera Performer Background Hand Model Singer

Number of wardrobe provided by the Performer:

Commercials	Radio (AFTRA H&R 18%)	TV (SAG P&H 18%)
Corporate-Educ./Non-Broadcast	WMA Co-Ed Waiver	SAG-AFTRA Cat 1	SAG-AFTRA Cat II*
AFTRA H&R 16.0%			*Cat II rates to be negotiated at time of engagement
Programs	Cable Program (17.1%)	Radio Program (11.5%)	Television Program (17.1%)
AFTRA H&R	Public Radio Program (11.5%)	Public Television Program (17.1%)
	Audio Books % (AFTRA)	Electronic Media % (AFTRA)	New Media % (SAG)
	Interactive Media	AFTRA H&R (15.5%)	SAG P&H (14.8%)

Date(s) of Session:

Production Co:

Location/Studio (State):

Producer:

Sponsor:

Signatory:

Length of Production:

Fee to Be Paid by:

Title:

Markets/Units:

Date(s) of Broadcast: Station: Network: Synd:

Compensation Session:
Compensation Residuals/Use:
Total Gross Compensation:

Payroll Period Ending:

AFTRA H&R Contribution:

Additional Information:

Make payable to “AFTRA H&R.” Send check and a copy of this document, to AFTRA H&R, PO Box 13673, Newark, NJ 07188-3673

SAG P&H Contribution:

Make payable to “SAG P&H.” Send check and a copy of this document, to SAG P&H, PO Box 54867, Los Angeles, CA 90054-0867

Filing Instructions
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PPS Only
PPS & Wash Mid-Atlantic SAG-AFTRA office
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This document is subject to the applicable SAG-AFTRA Codes of Fair Practice. The filing of this report by the employer shall be deemed an acceptance by the Employer of the provisions of SAG-AFTRA Codes and Contracts under which the work was performed, and an agreement by the employer to be bound by the provisions of said codes including those pertaining to minimum fees, Health and Retirement, Pension & Health contribution and Arbitration.
Authorized Signature: