Stock Photo Usage Rights & Clearance Form

Project Information

Project Name Project Manager / Requester Date

Stock Photo Details

Photo Title / Description Photographer / Source Stock Photo Website/Agency License Type (Standard, Extended, etc.) License Reference / Number

Intended Usage

Usage Description (where/how photo will be used) Distribution (Print, Web, Social Media, etc.) Audience/Reach (Internal, Public, etc.) Duration of Use

Clearance Confirmation

Date of License Purchase Purchased By File Uploaded / Archived By

Additional Notes / Restrictions