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  • Agreement 2257 File

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    Alex Ramirez
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    This document is a records keeping compliance form requiring a broadcaster to provide their legal name, date of birth, photo identification details, any other names used, and links to depictions of their performances as required by law to verify their age and identity. The form collects details to comply with federal record keeping laws for producers of sexually explicit content.

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    agreement2257File-df044d1d6f6a1bd4081cd6b09616925d (5)

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    This document is a records keeping compliance form requiring a broadcaster to provide their legal name, date of birth, photo identification details, any other names used, and links to depictions of their performances as required by law to verify their age and identity. The form collects details to comply with federal record keeping laws for producers of sexually explicit content.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    14 views1 page

    Agreement 2257 File

    Uploaded by

    Alex Ramirez
    This document is a records keeping compliance form requiring a broadcaster to provide their legal name, date of birth, photo identification details, any other names used, and links to depictions of their performances as required by law to verify their age and identity. The form collects details to comply with federal record keeping laws for producers of sexually explicit content.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    RECORDS KEEPING COMPLIANCE FORM

    PURSUANT TO 18 U.S.C. §§ 2257 and 2257A

    1. LEGAL NAME: ________________________________________________________


    (Full legal name, First, Middle, Last. Taken from Photo ID supplied by Broadcaster)

    2. DATE OF BIRTH: ______________________________________________________


    (Month, Day and Year, taken from Photo ID supplied by Broadcaster)

    3. PHOTO IDENTIFICATION: Type:______________ ID #:_______________________

    The following is a legible copy of the FRONT of the above-referenced ID card.

    The following is a legible copy of the BACK of the above-referenced ID card.

    4. ALL NAMES, OTHER THAN THE LEGAL NAME ABOVE, EVER USED BY YOU:

    (A) Stage or Professional Name: ________________________________________

    (B) Maiden Name: ___________________________________________________

    (C) Nicknames: ______________________________________________________

    (D) Alias(es): ________________________________________________________

    (E) Any other Stage or Professional Names: _______________________________

    ___________________________________________________________________

    5. LINKS TO COPIES OF ALL DEPICTIONS OF BROADCASTER PERFORMANCES, RECORDED


    WITH SUFFICIENT TIME TO IDENTIFY THE BROADCASTER:

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