California Depiction Release - Life Story with Reversion

for Your State

This California Depiction Release/Life Story with Reversion Rights is for use by a producer who wishes to base a motion picture on an individual's life story. This release sets out the terms of the arrangement and includes a right of reversion if the picture is not produced. This form is available for immediate download and is for use in California.

File types included

  • Microsoft Word
  • Adobe PDF
  • WordPerfect
  • Rich Text Format

Compatible with

  • Windows
  • Mac OS X
  • Linux

For Immediate Download

$19.95 Add to Cart
Free eSignature included
with every order
Please select a state

Attorney prepared

Our forms are kept up-to-date and accurate by our lawyers

Unlike other sites, every document on is prepared by an attorney, so you can be sure that you are getting a form that is accurate and valid in your state.

Valid in your state

Our forms are guaranteed
to be valid in your state

Our team works tirelessly to keep our products current. As the laws change in your state, so do our forms.

Over 3,500,000
satisfied customers

In over 10 years of creating and selling legal forms, our focus has never changed: providing our customers high quality legal products, low prices and an experience that takes some confusion out of the law.

Free eSignature

Sign your form online, free with any form purchase

We now provide a free Electronic Signature Service to all of our visitors. There are no hidden charges or subscription fees, it's just plain free.

60-Days Money Back

Try our forms with no risk

If you are unhappy with your form purchase for any reason at all, contact us within 60 days and we will refund 100% of your money back.
This California Depiction Release/Life Story with Reversion Rights is between an individual and a producer who is interested in producing a motion picture based on the subjectís life. This release sets out the terms of the agreement including the amount paid for the rights and the right to use a pseudonym rather than individualís real name. This release also contains a provision stating that unless production of motion picture starts by a certain date, all rights under the agreement revert back to the individual. A written Depiction Release will be invaluable in the event of disagreements or misunderstandings between the parties.

This California Depiction Release/Life Story with Reversion Rights includes the following provisions:
  • Parties: The names of the producer and the subject;
  • Compensation/Grant of Rights: Sets out compensation paid for use of the life story and the rights granted by the individual;
  • Payment of Consideration/Reversion of Rights: Payments will be made only if production begins on the motion picture. If production does not begin within a specified time, all rights revert back to the individual;
  • Name/Pseudonym: Producer may use a pseudonym instead of subjectís real name;
  • Signatures: The individual must sign and producer must sign and agree to this depiction release.

Protect your rights by using our professionally prepared up-to-date forms.

This attorney-prepared packet contains:
  1. General Information
  2. California Depiction Release/Life Story with Reversion Rights
State Law Compliance: This form complies with the laws of California
Number of Pages4
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#28004
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.
To:  _________________ (Producer)
I understand that you desire to use all or parts of the events of my life in order to have one or more teleplays or screenplays written, and to produce, distribute, exhibit and exploit one or more television programs and/or motion pictures of any length in any media now known or hereafter devised and sound recordings in any media now known or hereafter devised. I have agreed to grant you certain rights in that connection. This Consent and Release confirms our agreement as follows:
1. CONSIDERATION; GRANT OF RIGHTS: In consideration of your efforts to produce my story, payment to me of $_________________ upon the beginning of principal photography of a full-length Theatrical Motion Picture, and/or $_________________ upon the beginning of production of a television movie, and/or $_________________ upon the beginning of production of a pilot program and a royalty of $_________________ for each episode thereafter, and for other valuable consideration, with full knowledge I hereby grant you, perpetually and irrevocably, the unconditional and exclusive right throughout the world to use, simulate and portray my name, likeness, voice, personality, personal identification and personal experiences, incidents, situations and events which heretofore occurred or hereafter occur (in whole or in part) based upon or taken from my life or otherwise in and in connection with motion pictures, sound recordings, publications and any other media of any nature at all, whether now known or hereafter devised. Without limiting the generality of the foregoing, it is understood and agreed that said exclusive right includes theatrical, television, dramatic stage, radio, sound recording, music, publishing, commercial tie-up, merchandising, advertising and publicity rights in all media of every nature whatsoever, whether now known or hereafter devised. I reserve no rights with respect to such uses. (All said rights are hereinafter referred to as “Granted Rights”). It is further understood and agreed that the Granted Rights may be used in any manner and by any means, whether now known or unknown, and either factually or with such fictionalization, portrayal, impersonation, simulation and/or imitation or other modification as you, your successors and assigns, determine in your sole discretion. I further acknowledge that I am to receive no further payment with respect to any matter referred to herein. Any and all of the Granted Rights shall be freely assignable by you.
2. PAYMENT OF CONSIDERATION; REVERSION OF RIGHTS: I understand that you shall make the payments mentioned in paragraph 1 only if you begin production of a feature film or television movie or television pilot. In the event that you do not begin such a production within _________________ years of the date this agreement was executed, all rights granted by me under this agreement shall revert to me. I understand that if you do begin production within _________________ years of the date this agreement was executed, all rights granted by me under this agreement shall be perpetual.
3. RELEASE: I agree hereby to release and discharge you, your employees, agents, licensees, successors and assigns from any and all claims, demands or causes of actions that I may now have or may hereafter have for libel, defamation, invasion of privacy or right of publicity, infringement of copyright or violation of any other right arising out of or relating to any utilization of the Granted Rights or based upon any failure or omission to make use thereof.
4. NAME - PSEUDONYM: You have informed me and I agree that in exercising the Granted Rights, you, if you so elect, may refrain from using my real name and may use a pseudonym which will be dissimilar to my real name, however, such agreement does not preclude you from the use of my real name should you in your sole discretion elect and that in connection with it I shall have no claim arising out of the so-called right of privacy and/or right of publicity.
5. FURTHER DOCUMENTS: I agree to execute such further documents and instruments as you may reasonably request to effectuate the terms and intentions of this Consent and Release, and in the event I fail or am unable to execute any such documents or instruments, I hereby appoint you as my irrevocable attorney-in- fact to execute any such documents and instruments, if said documents and instruments shall not be inconsistent with the terms and conditions of this Consent and Release. Your rights under this clause constitute a power coupled with an interest and are irrevocable.
6. REMEDIES: No breach of this Consent and Release shall entitle me to terminate or rescind the rights granted to you herein, and I hereby waive the right, in the event of any such breach, to equitable relief or to enjoin, restrain or interfere with the production, distribution, exploitation, exhibition or use of any of the Granted Rights granted, it being my understanding that my sole remedy shall be the right to recover damages with respect to any such breach.
7. PUBLIC DOMAIN MATERIAL: Nothing in this Consent and Release shall ever be construed to restrict, diminish or impair the rights of either you or me to use freely, in any work or media, any story, idea, pilot, theme, sequence, scene, episode, incident, name, characterization or dialogue which may be in the public domain from whatever source derived.
8. ENTIRE UNDERSTANDING: This Consent and Release expresses the entire understanding between you and me, and I agree that no oral understandings have been made with regard thereto. This Consent and Release may be amended only by written instrument signed by you and me. I acknowledge that in granting the Granted Rights I have not been induced to do so by any representations or assurances, whether written or oral, by you or your representatives concerning the manner in which the Granted Rights may be exercised and I agree that you are under no obligation to exercise any of the Granted Rights and agree I have not received any promises or inducements other than as herein set forth. The provisions hereof shall be binding upon me and my heirs, executors, administrators and successors. I acknowledge that you have explained to me that this Consent and Release has been prepared by your attorney and that you have recommended to me that I consult with my attorney concerning this Consent and Release. This Consent and Release shall be construed according to the laws of the State of California applicable to agreements which are fully signed and performed within the State of California and I hereby waive any rights I may have, known or unknown, pursuant to Section 1542 of the California Civil Code which provides:
“A general release does not extend to claims which the creditor does not know or suspect to exist in his or her favor at the time of executing the release, which if known by him or her must have materially affected his or her settlement with the debtor.
In witness hereof and in full understanding of the foregoing, I have signed this Consent and Release on this _________________.  
Subject (Signature)
(Name, please print)
You've found your form, but will you need others? If there are other related forms you may need in the future, it may be beneficial to look at our combo packages. On average, customers who purchase a combo package save 40% on the related forms they need. Take a look at the combo packages below to see if one is right for you.
Motion Picture Producer Combo Package Get 40 forms for just $99.95 Save 87%! Best Value! This kit includes a comprehensive library of forms for film producers.

Looking for something else?