EXTRA’S RELEASE

Production / Series: “AUSTIN”

Production Company: Northern Pictures Productions Pty Ltd

52-54 Turner Street, Redfern NSW 2016
ABN: 65 164 182 629
Circle ADULT/CHILD
AGE: ___________________________ DATE: ___________________________

NAME: ______________________________________________ TEL: _____________________________

ADDRESS: _______________________________________________________________________________________________

AGENT: _____________________________________________ TEL: ______________________________________

EQUITY NO: _________________________________________ TAX FILE NO: _____________________________

NOTE: IF AN INCOME TAX INSTALMENT DECLARATION IS NOT ATTACHED TO THIS FORM THEN INCOME TAX WILL BE DEDUCTED
AT FULL RATE. DO NOT ALTER THIS VOUCHER

OFFICE ONLY

TIME ARRIVED ON SET: __________________ LENGTH OF CALL: _________________________________

MEAL BREAK: __________________ DATE: _________________________________

TIME FINISHED: __________________ OVERTIME: _________________________________

TOTAL HOURS: __________________ DEDUCTIONS: _________________________________

T.I.D FORM COMPLETED: YES / NO TOTAL: ________________________________

________________

This Release must be duly completed and signed by an authorised representative of the
Production Company. It must not be altered in any way, otherwise it will be considered invalid and
payment will be suspended until details are verified.

CONDITIONS:
You are engaged as a daily artist to the television series provisionally titled “Austin” on the
following conditions:

1. The Production Company shall not be responsible if this Release is lost or you do not claim
the amount due within seven (7) days of the date of the Release.

2. You warrant and undertake that you will render your services to the best of your ability and
comply with all our reasonable instructions and directions.

3. In addition to your services the Production Company shall own absolutely all the results and
proceeds of whatsoever nature (including without limitation all copyright whether presently
or hereafter existing throughout the world); you assign to the Production Company all rights
of every kind in such results and proceeds without reservation, condition or limitation. The
Production Company shall be entitled to exploit your performance (including in trailers, film
clips and music, video clips, posters, publicity) throughout the world in all media, devices
and technology now or hereafter known or devised in perpetuity.

4. You shall on request execute any documents deemed necessary or desirable to evidence,
protect or defend the rights referred to in Clause Error! Reference source not found..

5. Except to such extent as Workers Compensation or its equivalent in other states (or any
other statute) applies and cannot by law be excluded the Production Company shall not be
responsible for:
 a) any loss of or damage to your personal clothing or effects;
b) injury to you or death from any act or omission not authorised by the Production
Company;
c) any loss, damage or injury in respect of which the Production Company is not
entitled to claim a right of indemnity under any Policy of Insurance effected by it.

6. All wardrobe and other articles provided by the Production Company shall be and remain at
all times its property and shall be returned promptly and in good condition. You shall be
responsible for any loss of or damage to wardrobe and other articles loaned to you (except
for wear and tear).

7. The Production Company may "dub" your voice in any language or languages it may desire.

8. You agree that for the purpose of filming your hair may be cut as required by the Production
Company.

9. You agree not to, without the prior consent of the Production Company, make any
statement or supply any information in relation to the affairs of the Production Company to
media or anyone outside the television series. Without limiting the foregoing, you warrant
that you will not make any statements or supply any information to the media with respect to
the television series. You agree not to give any interviews or authorise any publicity in
relation to the television series without the Production Company’s prior written approval in
each instance.

You agree not to take any unauthorised photographs relating to the television series, crew
cast or locations during their employment by the Production Company.

Uploading any images relating to the television series, crew, cast or locations onto the
internet is strictly prohibited by the Production Company. Without limitation to the foregoing,
this includes but is not limited to mobile phone photographs uploaded to blogs or social
networking sites such as Facebook and Instagram.

10. Payment will be made to your agent (if applicable), receipt of which shall discharge the
Production Company from any further liability for payment.

11. The Production Company may, after giving you forty eight (48) hours written notice,
suspend or terminate this Agreement if an event of Force Majeure occurs. “Force Majeure”
means an event of force majeure (as that term is commonly defined by major U.S. studios
in the Hollywood film industry), including fire, flood, epidemic (including COVID-19 or threat
or fear thereof), earthquake, explosion or accident, war, blockade, embargo, restraints or
orders of civil, civil defence, or military authorities, act of a public enemy, riot or civil
disturbance, strike, lockout, boycott or other labour disturbance, the death, disability or
refusal to perform by key cast or crew or similar other cause outside the reasonable control
of the Production Company which causes a substantial interruption to the production of the
television series.

12. The Production Company acknowledges and respects the Traditional Owners and
Custodians of the Lands on which we work and live. The Production Company is committed
to providing a safe and healthy workspace and does not tolerate unlawful discrimination,
sexual harassment, vilification or bullying. You may contact the Production Company should
you need a copy of the Anti-Discrimination, Harassment and Bullying Policy.

13. The parties acknowledge and agree that the circumstances of the Coronavirus (COVID-19)
pandemic are extraordinary and unique. Consequently, the Production Company may be
required to stand down cast and crew.

14. In the event the Production Company is given medical advice, expert advice or reasonably
determines that production must be suspended or that you cannot be usefully employed
2 | Page
due to circumstance caused directly or indirectly by the COVID-19 pandemic, the
Production Company may terminate this Agreement without further payment to you.

The Production Company undertakes to:

i. provide as much prior notice of termination as is reasonably possible;
ii. keep you informed during the suspension of the series;
iii. act in accordance with the law; and
iv. act in a manner consistent with the Production Company’s obligation to provide a safe
working environment.

In the event of inconsistency between this clause and any other applicable contractual
obligation between the Production Company and you, this clause will prevail.

A full copy of the Production Company’s COVID-19 workplace policy is also available from
the Production Office.

I agree that my engagement is subject to the conditions, all of which I agree and observe.

_______________________________________
SIGNATURE OF ARTIST

_________________________

SIGNATURE OF AUTHORISED REPRESENTATIVE OF

Northern Pictures Productions Pty Ltd

3 | Page
MEDICAL QUESTIONNAIRE

Please fill in this questionnaire and return it to the Production Company. All information will be treated as
confidential and will be destroyed at the end of the television series. The information requested will enable
the Production Company to take better care of all cast and crew.

NAME:
ADDRESS:
TELE. NO.: MOBILE NO.:
AGE:
BLOOD TYPE:
NEXT OF KIN: DOCTOR:
ADDRESS: ADDRESS:
TELE. NO.: TELE. NO.:

ANY ALLERGIES? YES / NO

If yes, please detail any allergies to drugs including drugs such as penicillin, sedatives, antihistamines,
aspirin, etc.

Please detail any allergies to other substances including food allergies, allergies to stings (e.g., bees,
wasps), animals (e.g., cats) and environmental allergies (e.g., dust mites, pollens, grass seeds). Please note
symptoms and preferred method of treatment.

ANY PHYSICAL DISABILITIES OR PRE-EXISTING MEDICAL CONDITIONS? YES / NO

If yes, please provide details (e.g., diabetes, asthma, back problems, epilepsy, history of heart problems,
pregnancy)

EYESIGHT/HEARING - Please provide details if you have impaired eyesight and/or hearing:

Do you wear glasses/contact lenses/hearing aid?

Do you have specific eyesight problems (e.g. night blindness, colour blindness, history of recurrent
conjunctivitis)?

SPECIAL DIETARY REQUIREMENTS? e.g., vegetarian, no milk products or other.

HAVE YOU HAD A TETANUS INJECTION IN THE LAST FIVE YEARS? YES / NO

ARE YOU ON ANY REGULAR MEDICATION AT THIS TIME? YES / NO

If yes, please detail

Signature: __________________________________ Date: __________________________________

4 | Page
Introduction

CODE OF CONDUCT

Northern Pictures is committed to the highest standards of integrity, ethics, professionalism and
achievement.

This Code of Conduct sets out our expectations of each other and the people retained to act on our behalf. It
may change or be supplemented with other Codes of Conduct and Policies from time to time. You will be
notified of any such changes and additional Codes and Policies.

Honesty, Integrity and Professionalism

Everything we do is done honestly, with integrity and to the highest standards of professionalism and
performance.

A Safe, Respectful, Inclusive Workplace

We show courtesy and respect for colleagues and the people with whom we do business. We want all
Northern Pictures people to have a voice in the work they do and not to be afraid of expressing their ideas.
We comply with Northern Pictures’ Workplace Discrimination, Harassment, Sexual Harassment and Bullying
Policy and Code of Practice.

Legal and Financial Compliance

We make sure we know and comply with laws and regulations that apply to us, everywhere we do business.
We prepare our business records and financial reports with integrity and honesty, whether they are externally
reported or used internally to oversee the Northern Pictures’ operations. We report concerns about financial,
accounting, and auditing matters, as well as issues regarding business records, through the appropriate
Northern Pictures channels.

Ethical Business Practices

We try to do business with suppliers, third parties, and business partners that enhance our level of service
and provide products and services of quality. We seek suppliers who share our commitments to human
rights (including labor rights), diversity, and ethical and sustainable business practices.

The following activities are inherently unethical and most likely illegal. We do not engage in them.

• Undisclosed Conflicts of Interest

In our work, we don’t put personal gain ahead of Northern Pictures’ interests or engage in activities
through which we benefit, or might appear to benefit, to Northern Pictures’ detriment. For example,
we do not have secret interests in suppliers or customers, take commissions on Northern Pictures
transactions or accept personal gifts in return for business from Northern Pictures.
• Bribery and Corruption
We follow ethical business practices throughout the world in our dealings with public officials, other
companies and private citizens. We do not seek to influence them, directly, indirectly, or through a
third party, through the payment of bribes or kickbacks or any other unethical payment. We do not
offer, promise or give anything of value to any person if the purpose is to improperly influence the
recipient to take or fail to take action that would give Northern Pictures a commercial benefit or
advantage. We strive to avoid even the appearance of improper influence.
• Protection of Northern Pictures Assets and Information

Northern Pictures’ success depends on how we develop and use its assets. We are personally
responsible for the proper use and protection of Northern Pictures assets and information in our
care, including our buildings and equipment, our ideas, our proprietary information and records and
the Northern Pictures brands themselves.

NP – Code of Conduct 1 [Doc Date 3 Mar 21]

5 | Page
Responsible Communication

Our communications on behalf of Northern Pictures and when we are using Northern Pictures systems
should be professional, respectful and appropriate. Outside Northern Pictures, we do not discuss Northern
Pictures or disclose information about its people or activities that may damage Northern Pictures’ reputation
or the reputation of a colleague or another person with whom we do business. Only authorized people at
Northern Pictures may speak with the media or comment publicly on its behalf.

Reporting Rights and Responsibilities

We report when we observe a violation, or what reasonably appears to be a violation, of the law, this Code,
or Northern Pictures policies and guidelines. We use these reporting rights responsibly, without intending to
harass others or to report trivial matters. We do not knowingly and willfully make false, fictitious statements
or representations.

We can raise questions or concerns or make a report to others at Northern Pictures (to our supervisors, the
Managing Director, the Legal Department or any Director of Northern Pictures). We will willingly assist in any
investigation by Northern Pictures into the breach of this Code.

No Retaliation

Northern Pictures does not tolerate retaliation against those who report suspected violations. Retaliation
must be reported immediately so that Northern Pictures can investigate promptly and take appropriate
action.

Commitment to this Code and Other Codes and Policies

We respect this Code and any other Codes of Conduct and Polices that Northern Pictures adopts from time
to time and apply them to all our work.

I agree to abide by this Code of Conduct.

Name: _____________________________________

Signature: __________________________________

6 | Page
 Tax file number declaration
This declaration is NOT an application for a tax file number.
■ Use a black or blue pen and print clearly in BLOCK LETTERS.
■ Print X in the appropriate boxes.
ato.gov.au ■ Read all the instructions including the privacy statement before you complete this declaration.

Section A: To be completed by the PAYEE 6 On what basis are you paid? (Select only one.)
1 What is your tax Full‑time Part‑time Labour Superannuation Casual
file number (TFN)? employment employment hire or annuity employment
income stream
OR I have made a separate application/enquiry to
For more the ATO for a new or existing TFN. 7 Are you an Australian resident for tax purposes? Yes No
information, see
(Visit ato.gov.au/residency to check)
question 1 on page 2 OR I am claiming an exemption because I am under
of the instructions. 18 years of age and do not earn enough to pay tax. 8 Do you want to claim the tax‑free threshold from this payer?
OR I am claiming an exemption because I am in Only claim the tax‑free threshold from one payer at a time, unless your
receipt of a pension, benefit or allowance. total income from all sources for the financial year will be less than the
tax‑free threshold.
Answer no here and at question 10 if you are a foreign resident,
2 What is your name? Title: Mr Mrs Miss Ms Yes No except if you are a foreign resident in receipt of an Australian
Surname or family name Government pension or allowance.
9 Do you want to claim the seniors and pensioners tax offset by
First given name reducing the amount withheld from payments made to you?
Complete a Withholding declaration (NAT 3093), but only if you
Yes are claiming the tax‑free threshold from this payer. If you have No
Other given names more than one payer, see page 3 of the instructions.

10 Do you want to claim a zone, overseas forces or invalid and invalid carer
tax offset by reducing the amount withheld from payments made to you?
3 If you have changed your name since you last dealt with the ATO,
Yes Complete a Withholding declaration (NAT 3093). No
provide your previous family name.
11 (a) Do you have a Higher Education Loan Program (HELP), Student Start‑up
Loan (SSL) or Trade Support Loan (TSL) debt?
Day Month Year
Your payer will withhold additional amounts to cover any compulsory
Yes repayment that may be raised on your notice of assessment. No
4 What is your date of birth?
(b) Do you have a Financial Supplement debt?
5 What is your home address in Australia? Your payer will withhold additional amounts to cover any compulsory
Yes repayment that may be raised on your notice of assessment. No

DECLARATION by payee: I declare that the information I have given is true and correct.
Signature
Date
Suburb/town/locality Day Month Year

You MUST SIGN here

State/territory Postcode
There are penalties for deliberately making a false or misleading statement.

Once section A is completed and signed, give it to your payer to complete section B.

Section B: To be completed by the PAYER (if you are not lodging online)
1 What is your Australian business number (ABN) or Branch number 4 What is your business address?
withholding payer number? (if applicable)

2 If you don’t have an ABN or withholding payer number,

have you applied for one? Suburb/town/locality
Yes No
State/territory Postcode
3 What is your legal name or registered business name
(or your individual name if not in business)?
5 Who is your contact person?

Business phone number

6 If you no longer make payments to this payee, print X in this box.

DECLARATION by payer: I declare that the information I have given is true and correct.
Signature of payer
Return
 the completed original ATO copy to: IMPORTANT
Date
Day Month Year Australian Taxation Office See next page for:
PO Box 9004 ■ payer obligations
PENRITH NSW 2740 ■ lodging online.

There are penalties for deliberately making a false or misleading statement.

Print form Save form Reset form

Sensitive (when completed)
30920716
NAT 3092‑07.2016 [JS 35902]
 Superannuation Standard choice form

For use by employers when offering employees a choice of fund and by employees to advise their employer of their chosen fund.

Section A: Employee to complete

Where your super should be paid is your choice. From 1 November 2021, if you start a new job and you do not
advise your employer of your choice of super fund by completing this form, most employers will need to check
with the ATO if you have an existing super account to pay your super into.

1 Choice of superannuation (super) fund

I request that all my future super contributions be paid to: (place an X in one of the boxes below)

The APRA fund or retirement savings account (RSA) I nominate Complete items 2, 3 and 5

The self-managed super fund (SMSF) I nominate Complete items 2, 4 and 5

The super fund nominated by my employer (in section B) Complete items 2 and 5

2 Your details
Name

Employee identification number (if applicable)

Tax file number (TFN)

You do not have to quote your TFN but if you do not provide it, your contributions may be taxed at a higher rate.
Your TFN also helps you keep track of your super and allows you to make personal contributions to your fund.

3 Nominating your APRA fund or RSA

You will need current details from your APRA regulated fund or RSA to complete this item. To do this you can contact your
fund or RSA directly, or you can view your fund or RSA account details by logging into ATO online services via the ATO app
or through myGov and selecting Super.

Fund ABN
Fund name

Fund address

Suburb/town State/territory Postcode

Fund phone

Unique superannuation identifier (USI)

Your account name (if applicable)

Your member number (if applicable)

Correct information about your super fund is needed for your employer to pay super contributions. Your employer may choose
not to accept this form if you do not provide:
■ all the information requested on this form
■ a letter from your fund stating they are a complying fund and can accept contributions from your employer (some funds may
have a copy of this compliance letter on their website. For other funds you will need to contact them for this information).

NAT 13080‑10.2021 OFFICIAL: Sensitive (when completed) Page 1

4 Nominating your self-managed super fund (SMSF)
You will need current details from your SMSF trustee to complete this item.
Fund ABN
Fund name

Fund address

Suburb/town State/territory Postcode

Fund phone
Fund electronic service address (ESA)

Fund bank account

Bank account name

BSB code (please include all six numbers) Account number

Required documentation
You need to attach a document confirming the SMSF is an ATO regulated super fund. You can locate and print a copy of the
compliance status for your SMSF by searching in the Super Fund Lookup service at http://superfundlookup.gov.au/
If you are the trustee, or a director of the corporate trustee you can confirm that your SMSF will accept contributions from your
employer by making the following declaration (place an X in the box below):
I am the trustee, or a director of the corporate trustee of the SMSF and I declare that the SMSF will accept contributions
from my employer.
If you are not the trustee, or a director of the corporate trustee of the SMSF, then you must attach a letter from the trustee
confirming the fund will accept contributions from your employer.

5 Signature and date

If you have nominated your own fund in Item 3 or 4, check you have attached the required documentation and then place
an X in the box below.

I have attached the relevant documentation.

Signature
Date
Day Month Year

Return the completed form to your employer as soon as possible.

Print form Reset form

Page 2 OFFICIAL: Sensitive (when completed)

Section B: Employer to complete
You must complete this section before giving the form to an employee who is eligible to choose the super fund into which you
pay their super contributions.

Sign and date the form when you give it to your employee.

6 Your details
Business name

ABN
Signature
Date
Day Month Year

7 Your nominated super fund

If an employee does not choose their own super fund, and the ATO has advised the employee does not have a stapled super
fund (for new employees from 1 November 2021), you can meet your SG obligations by paying super guarantee contributions
on their behalf to the fund you have nominated below or another fund that meets the choice requirements:

Super fund name

Unique superannuation identifier (USI)

Phone (for the product disclosure statement for this fund)

Super fund website address

Section C: Employer to complete

Complete this section when your employee returns the form to you with section A completed.

8 Record of choice acceptance

In the two months after you receive the form from an existing employee you can continue to make super contributions to their
current fund or you can contribute to the new fund the employee nominated. After the two‑month period you must make
payments to the new fund chosen by the employee.
For new employees commencing employment from 1 November 2021, within the two month period, super contributions
should be made to the employee’s chosen fund or the stapled super fund if the employee has not made a choice . You can
only make contributions to your nominated fund if the ATO advises you the employee does not have a stapled super fund.
If you don’t meet your obligations, including paying your employee superannuation guarantee contributions to the
correct fund, you may face penalties.

Day Month Year Day Month Year

Date employee’s choice Date you act on your
is received employee’s choice

Employers must keep the completed form for their own record for five years. Do not send it to the Australian
Taxation Office, the employer’s nominated fund or the employee’s nominated fund.

PRIVACY STATEMENT
The ATO does not collect this information; we provide this form as a means for employees to identify and provide necessary
information to their employer. An employer is authorised to collect an employee’s TFN under the Superannuation Industry
(Supervision) Act 1993. It is not an offence for an employee not to quote their TFN. However, quoting a TFN reduces the risk
of administrative errors and if the employee does not quote their TFN their contributions may be taxed at a higher rate.
An employee can get more details regarding their privacy rights by contacting their superannuation fund.

Print form Reset form

OFFICIAL: Sensitive (when completed) Page 3

 ‘AUSTIN’ – EXTRAS
BANK DETAILS FOR PAYMENT

Please fill out your details below so we can transfer your funds after you have completed
your shift as an extra.

Your full name:______________________________________________________________

Your phone number: _________________________________________________________

Your email address: __________________________________________________________

Name on your bank account: ___________________________________________________

Bank account number (please double check your digits): _____________________________

Your bank’s BSB number: ____ ____ ____ - ____ ____ ____

Your bank’s name: ___________________________________________________________