Testimonial Release Form Template – US

4.24 – 5 (2993 Reviews)

Updated – 2025 /2026


Declaration of Consent

The statement provided is intended solely as a general example for understanding consent and testimonial release procedures. It does not serve as legal advice and should not replace consultation with a qualified legal professional familiar with the pertinent laws and regulations. Legal requirements may vary by jurisdiction, and modifications might be necessary to ensure compliance. The use of this example is at the user’s own risk; we accept no liability for errors, omissions, or consequences resulting from its use without proper legal review.


PDF

PDF

Word

Word

Sample

Sample

Template

Template


Please note: This is a sample Testimonial Release Form for the US, provided for general informational purposes only. Actual legal documents should be tailored to specific circumstances and reviewed by legal professionals.

Testimonial Release Form (Sample for US Use)

Parties Involved:

Releasor: [Name of the Individual Giving Testimonial]
Address: [Releasor’s Address]

Releasee: [Organization or Individual Releasing the Testimonial]
Address: [Releasor’s Address, if applicable]

Purpose of Release:

This form grants permission to [Organization] to use the testimonial or statement provided by the Releasor for marketing, promotional, or informational purposes across various media, including online and print formats.

Releasor’s Acknowledgment:

The Releasor affirms that the testimonial is provided voluntarily and that they have the right to grant this release. The Releasor understands that their statement may be used publicly by the Releasee without further notice or compensation.

Terms and Conditions:

  • The Releasor grants permission for the testimonial to be used in any media now or hereafter devised.
  • The Releasor releases the Releasee from any claims connected to the use of the testimonial.
  • This release is effective upon signing and shall remain valid unless revoked in writing by the Releasor.

Location: ______________________ Date: ______________________

________________________
[Releasor’s Name]
________________________
[Authorized Signatory of Organization]