Following recent changes to departmental responsibilities, the functions of the former Department of Treaty, Aboriginal and Torres Strait Islander Partnerships, Communities and the Arts are transitioning to new departments. Work is underway to update departments’ websites.

Film and photo consent form

The department requires consent to use images and recordings of people for promoting government programs, services and initiatives.

Required fields are marked with an asterisk *.

Activity or event
If a department employee has completed this form, please provide your email address
Consenting on behalf of someone else
I am consenting
What is your authority to consent on their behalf?
Subject information
Cultural identity
Do you identify as
Conditions and limitations
Follow up contact
Electronic signature

You must acknowledge Queensland State Laws will accept this communication as containing my signature within the meaning of the Electronic Transaction (Queensland) Act 2001.

Signature *

Collection notice

We are collecting this information so that we have a record of your consent, for the State to use photos and recordings of you and/or of individuals you have consented on behalf of.

We are committed to protecting your privacy and collect, store, use, and disclose personal information responsibly and transparently in accordance with the Information Privacy Act 2009 when we deliver government services and conduct government business.

Consent statement
  1. I agree to the State of Queensland, its employees, officers, agents and contractors ("the State") making images or recordings, whether sound, digital or otherwise, of me and the subject for whom I am consenting;
    1. using, publishing or reproducing the images and recordings in any form (in whole or in part) and by any medium, including but not limited to third party websites and social media websites which may be hosted overseas, newspapers, magazines, brochures, television advertisements, promotional videos, websites, CD-ROM or other multi-media, for public relations, promotions, commercial and advertising purposes ("Promotional Materials"); and
    2. retaining or storing the images and recordings (including those incorporated into Promotional Materials), in hard copy or digitally, including but not limited to, deposit of the images and recordings into a Queensland Government Image Library.
  2. I agree that the rights granted to the State under clause 3 of this Video and image consent form are perpetual and that I will not receive any payment, royalty or other consideration (whether monetary or otherwise) from the State in connection with the making, use or storage of the images and recordings.
  3. I agree to the State collecting, storing, handling, accessing, managing, transferring, using and disclosing personal information about me, and the subjects including but not limited to our name, details and image, in connection with the images and recordings or the Promotional Materials.
  4. I acknowledge and agree that any Promotional Materials which refer to me and the subjects, expressly or by implication, are, at the date of publication, made in good faith and are not intended to defame or offend me or the subjects or bring me or the subjects into disrepute.
  5. I agree that the State is the owner of the copyright in the images and recordings and the physical images and recordings.
  6. I acknowledge that a representative of the State has explained the contents of this Video and image consent form to me and I am signing this Video and image consent form of my own free will, on the full understanding and comprehension of the terms of this Video and image consent form.
Consent *

Download form

We prefer that you use our online form to give consent. If a departmental employee is attending the event, they can help you submit the form.

downloadable form (DOCX, 114 KB) is also available, if you are having any difficulties with completing the online form.

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Cultural acknowledgement

We pay our respects to the Aboriginal and Torres Strait Islander ancestors of this land, their spirits and their legacy. The foundations laid by these ancestors—our First Nations peoples—give strength, inspiration and courage to current and future generations towards creating a better Queensland.

Our human rights commitment

We will respect, protect and promote human rights within our decision-making and actions.