Employee Consent Form

Employee Consent Form

Please fill out this form to provide your consent for the use of your information, image, or participation in company activities.

Employee Information

Name

    Employee ID

      Department

        Phone number

          Email

            Consent for Use

            Please indicate your consent for the following (check all that apply)

              • Use of my image and likeness in company materials (e.g., brochures, website)

              • Participation in company events or activities

              • Use of my feedback or testimonials in company promotions

              Purpose of Consent

              Please specify the purpose for which this consent is being granted

                Consent Agreement

                I understand that my consent allows [Your Company Name] to use my information and image as indicated above. I acknowledge that I can withdraw my consent at any time by notifying the company in writing.

                Signature

                Name:

                Date:

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