If you would like to make a claim for outstanding residuals, please complete this form to initiate an investigation with the Residuals Department. *To make a claim for unpaid initial compensation, please click here.

Please provide as much information as you can, as it will allow us to investigate your claim as quickly as possible. Click the "Send E-mail" button when done.

*Denotes a Required Field

*Your Name
*Writer's Name (If you are making a claim on someone else's behalf):
*Your Daytime Phone Number:
*Your Evening Phone Number:
Please indicate the best time to contact you:
*E-mail Address:
Employing Company:
Date of writing services agreement:
*Project Title(s):
*Episode Title(s) (If applicable):
*For what market was your project written:
*For what market do you believe residuals are due:
Network Free Television
Non Network Free Television (including syndication, Fox, UPN, and WB)
Basic Cable
Pay Television
Clip Usage
If you know, please indicate the specific station(s) on which your project has been exhibited (e.g. NBC, HBO, USA):