
Photo/Video Consent Release Form
Backflow Solutions, Inc. (BSI Online), Chicago Backflow Inc. (CBI), and Red Star Inspections, Inc. (RSI) are committed to professionally promoting their businesses and services. As part of our promotional, advertising, marketing, and training efforts, we may use photographs, videos, other visual recordings, and brief written summaries of you and the associated work history of our employees and/or provided by employees for internal and external purposes, including but not limited to:
- Social media posts
- Website content
- Marketing materials (flyers, brochures, etc.)
- Advertising campaigns (printed and electronic)
- Training resources
- Company summaries for public procurement documents

Consent: By signing this release form, you grant BSI, CBI, and/or RSI the irrevocable right to use, reproduce, alter, and publish photographs, videos, or audio recordings in which you may appear and/or be heard. This consent applies to both past, current and future materials, and you waive any right to royalties or compensation for their use.
Scope of Use:
- The media may be edited, altered, or used in part or whole without inspection or additional approval.
- The materials may be used across various platforms and mediums, including print, digital, and online.
- The consent applies worldwide and does not expire unless otherwise revoked in writing by the employee.
Revocation of Consent: You may revoke this consent at any time by providing written notice to BSI / CBI RSI by contacting Human Resources. Upon receipt of your revocation, the company will make reasonable efforts to discontinue future use of your image or recordings. However, previously published materials cannot be recalled.
Acknowledgment: I understand and agree to the above terms. I confirm that I am providing this consent voluntarily and without duress.
A PDF will be sent to the email entered below for your records.