Here's something we were given to cover the new 2257 regs. It's really for US performers but might be useful if you edit it.
Quote:
PERFORMER
PERFORMER/MODEL 18 U.S.C.2257 INFORMATION
Full current legal name (obtained from examination of a valid United States
federal or state government-issued picture identification card):
Date of birth (obtained from examination of a valid United States federal or state
government-issued picture identification card):
Maiden name:
All past and present stage names (use back of form or additional pages if more
space is needed):
All past and present professional names (use back of form or additional pages if
more space is needed):
All past and present nicknames (use back of form or additional pages if more
space is needed):
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PERFORMER
All past and present aliases (use back of form or additional pages if more space
is needed):
Any other name ever used by the performer (use back of form or additional
pages if more space is needed):
Stage name for this production:
Under penalty of perjury, I swear that the foregoing is true and correct and that
the United States Federal or State government-issued picture identification
card(s) that I have provided herewith was lawfully obtained by me and has not
been forged or altered.
Date Month / Day / Year Signature of performer/model
WITNESSED BY:
Date Month / Day / Year Signature of witness
Pursuant to Title 18 U.S.C. §2257, the regulated visual depictions of actual
sexually explicit conduct for this photo shoot were produced on
(Month / Day / Year) Signature of Photographer
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