Prices 2018 - Release Consent, Consent & release form -- filmcontracts.net, Directory of film and video production contracts. select contracts category: .. Proof of representation and consent to release - centers, Proof of representation is required for the benefits coordination & recovery center (bcrc) to communicate with and provide information to an attorney that represents a medicare beneficiary.. Interviews, film, photos, tape and video consent and release, Photo consent and release form. without expectation of compensation or other remuneration, now or in the future, i hereby give my consent to [legal entity/organization], its affiliates and agents, to use my image and likeness and/or any interview statements from me in its publications, advertising or other media activities (including the internet)..