Entertainment – Errors & Omissions Application

CLEARANCE INFORMATION

Have you obtained a title report for this production?*

Yes
No

Is the name or likeness of any actual living person used, portrayed or identifiable in the Named Production?*

Yes
No

Do you have the appropriate releases to use the footage with the identifiable living person?*

Yes
No

Please provide a description of the scenes with identifiable person(s)*

Is the name or likeness of any actual deceased person used, portrayed or identifiable in the Named Production?*

Yes
No

Do you have the appropriate releases to use the footage with the identifiable deceased person?*

Yes
No

Please provide a description of the scenes with identifiable person(s)*

Is the production based on an underlying work?*

Yes
No

Please confirm the following by checking each box*

You are not aware of any similar format or concept
No similar format or material has been submitted to you at any time

Please confirm the following by checking each box*

Copyright reports have been obtained
No ambiguities, gaps or problems in the chain of title
The chain of title of all works on which the production is based has been thoroughly investigated and cleared back to the original copyright owners to determine that all grants or transfers in the chain of title permit you to assign or sublicense the material as incorporated in your production

Have you obtained from all writers and other content providers to the production, written warranties that the content with which they provide you does not infringe the rights of any third party and have you obtained an indemnity for any breach of this warranty?*

Yes
No

Have you obtained a written agreement from all performers or persons appearing in your production consenting to their appearance?*

Yes
No

Will any film clips, TV clips or photographs be used in the productions?*

Yes
No

Have all licenses and consents been obtained from the copyright owner without restriction and are you authorized to assign or sublicense the licensed materials as incorporated in your production?*

Yes
No

Have the following musical rights been obtained from the composer and/or performers of specially commissioned music and/or cleared with the owners of pre-existing music and/or recordings, including: Recording and synchronization Performing rights? Right to distribute for all forms of distribution contemplated (home video, etc.)*

Yes
No

Do you have the authorization of any person or entity depicted in the film clip, TV clip or photograph to use their depiction in your production and to assign or sublicense that depiction in your production?*

Yes
No

Have you or any of your agents been unable to obtain or been refused an agreement or release after having: Negotiated for any rights in literary, musical or other materials? Negotiated for release from any persons in respect of any material incorporated in the production?*

Yes
No

Please explain why you were unable to obtain an agreement/release from the above.*

Did you screen the Named Production for the following possible offenses?*

Were such screenings performed by, or under the supervision of, a qualified attorney?*

Yes
No

In the past three (3) years, have you been given notice of any potential infringement another party's intellectual property (IP) rights, including without limitation, copyright or trademark infringement?*

Do your compliance procedures include any of the following:

Training of employees regarding copyright, trademark, and defamation issues.*

Yes
No

Do your requirements of freelancers, independent contractors, musicians, composers, or others who provide content include, statements to assign or license you their rights to the content?*

Yes
No

Do your requirements of freelancers, independent contractors, musicians, composers, or others who provide content include a warrant that their work does not violate another party's rights?*

Yes
No

Do your requirements of freelancers, independent contractors, musicians, composers, or others who provide content include Indemnification should an IP infringement claim be made against you?*

Yes
No

Do your requirements of freelancers, independent contractors, musicians, composers, or others who provide content stating to hold you harmless should an IP infringement claim be made against you?*

Yes
No

Acquisition of all necessary IP rights via licenses, consents, or releases.*

Yes
No

Trademark searches by employees.*

Yes
No

Trademark searches by professional search firm.*

Yes
No

Copyright searches by employees.*

Yes
No

Copyright searches by professional search firm.*

Yes
No

Clearance of performing, recording, and synchronization rights.*

Yes
No

Were the requirements outlined above met with regards to the Insurance sought?*

Yes
No

MERCHANDISING OPTIONS

Is coverage desired for Merchandising for this Production?*

Yes
No

Have all necessary consents and licenses been obtained in respect of any associated merchandising?*

Yes
No

Will appropriate trademark or other searches be made before merchandising characters or other matter that might be subject to trademark, unfair competition or similar claims?*

Yes
No

LEGAL PROCEDURES

Have you suffered any loss or has any claim, whether successful or not, ever been made against you that would be covered by this insurance?*

Yes
No

Please provide details regarding any loss or claims*

Are you aware of any problem which is likely to lead to you suffering a loss or a claim being made against you that would be covered by this insurance?*

Yes
No

Please provide details regarding any problems likely to result in a loss that you are aware of.*

It is understood and agreed that with respect to the above questions if such knowledge of information exists, any claim or action arising there from is excluded from this proposed coverage*

Yes
No

(800) 696-3023

[email protected]

Forms

Get started by filling out this form and someone from our team will contact you shortly!