AMERICAN FEDERATION OF TELEVISION & RADIO ARTISTS
SCREEN ACTORS GUILD
4340 East West Highway, Suite 204,  Bethesda, MD  20814
301-657-2560
www.aftrasagdcbalt.com
PRODUCTION REPORT
               Payment is generally due the 10th of the month following the month of production or 12 working days, whichever is later.

    EMPLOYER/PRODUCER:
A. TOTAL GROSS COMPENSATION:
                             B. CONTRIBUTION:
Line B is payable to  "AFTRA H&R" or "SAG P&H" Send all checks (Lines A&B) with 2 copies or Production Report to:
AFTRA/SAG
4340 East West Highway, Suite 204
Bethesda, MD, 20814

This document is subject to the applicable AFTRA/SAG Codes of Fair Practice. The filing of this report by the employer shall be deemed an acceptance by the Employer of the provisions of AFTRA/SAG 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:

Commercials  Radio (AFTRA)      TV Tape (AFTRA)     TV Film (SAG) (H&R/P&H 14.8%)
_________________________________________________________________________________________________________________
Indust./Educ./Non-Broadcast    SAG         AFTRA            Cat I                 Cat II (H&R/P&H 14.3%)
_________________________________________________________________________________________________________________
Programs (AFTRA) Radio (H&R 11.5%)               Television (H&R 14.1%) Cable (H&R 14.1%)
                                        Public Radio (H&R 11.25%)  Public Television H&R (13.5%)

Date(s) of Session:
Location/Studio(State):
Sponsor:
Length of Production:
Title:
Date(s) of Broadcast: Station:

Production Firm:
Producer:
SIGNATORY:
Fee to Be Paid by:
Markets/Units:
Network:  Synd:

CATEGORY OF PERFORMANCE

Agent:
Wardrobe provided by: Producer  Performer
Number of wardrobes provided:

AN - Announcer/Narrator   
P    - Performer/Player
HM - Hand Model  		 E  - Extra
 M - Model
 S  - Singer

Performers Name:            Social Security Number: 
Phone:Email:  Category:  #of Spots: Camera: ON  OFF
Hours-From:To: Lunch-From:To: Gross Compensation:

Additional Information or Remarks
Meal penalties, rest period violations, traveling, lodging or living expenses, late payment penalties, flight insurance allowance, reimbursement for special hair dress, wardrobe maintenance or damage fees are non-taxable payments. H&R / P&H is calculated on taxable earnings only. Agency Commissions are based on taxable income.

Filing Instructions
Complete 4 copies:
* 1 copy to Signatory
* 1 copy to Paymaster
* 1 copy to AFTRA/SAG
(Production Report Fax# 301-654-9040)
* Keep a copy for your files

PRINT A COPY BEFORE      YOU SUBMIT!