Journalism Interview Consent Form
A free journalism interview consent form for reporters, journalists, and student press. Covers on-record, off-record, recording, and publication consent. Download PDF or Word instantly.
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CONSENT TO INTERVIEW: I, [ interviewee ], agree to be interviewed by [ journalist ] of [ publication ] regarding [ topic ].
RECORDING: This interview will be audio and/or video recorded.
VOLUNTARY: I may decline any question and withdraw consent at any time prior to publication.
INTERVIEWEE SIGNATURE: ___________________________ Date: __________
JOURNALIST SIGNATURE: ___________________________ Date: __________
What Is a Journalism Interview Consent Form and Who Needs One?
A journalism interview consent form is a written agreement between a journalist and an interviewee that documents exactly how the information shared will be used — whether on the record, on background, or off the record. Unlike a general interview consent form, a journalism-specific form also covers publication rights, attribution preferences, recording consent, and the interviewee's right to review quotes before publication.
The Society of Professional Journalists (SPJ) Code of Ethics emphasises minimising harm to sources and being transparent about a journalist's identity and purpose — both of which a signed consent form directly supports. When conducting recorded interviews for print, broadcast, or online publication, a signed consent form also protects reporters against later disputes over what was said on or off the record.
Broadcast reporters and documentary filmmakers need a media interview consent form that covers broadcast rights. Podcasters conducting journalistic interviews should use a podcast interview consent form that includes syndication and clip-reuse rights. If the interview is captured on video, a separate video interview consent form may also be required.
Student journalists are not exempt. The Student Press Law Center (SPLC) provides guidance on consent and minor interview permissions. Our student interview consent form is designed for this context. For a quick one-page option, a simple interview consent form may be sufficient. For researchers conducting journalistic-style interviews, see our research interview consent form. Browse interview consent form samples and examples for real-world formats.
What to Include in a Journalism Interview Consent Form
- Publication name, media outlet, and journalist nameClearly identify who is conducting the interview and for which publication or broadcast outlet.
- Topic of the interviewState the article topic, story angle, or broadcast segment the interview will appear in.
- Attribution choice — on-record, background, or off-recordDocument the interviewee's agreed attribution level before they speak. See our guide on writing interview consent forms for more detail.
- Recording consent — audio and/or videoSpecify whether the interview will be audio recorded, video recorded, or notes only. Recording consent is legally required in two-party consent states.
- Publication and broadcast rightsFor print, online, and social media editions. If the interview may be syndicated or broadcast, use a media interview consent form which covers broader distribution rights.
- Right of interviewee to go off the recordConfirm the interviewee's right to stop or redirect the interview, or designate portions as off the record after the fact.
- Whether the interviewee can review quotes before publicationSome publications offer quote review; others do not. Documenting this avoids post-publication disputes.
- Contact information for the journalist and editorA contact name, email, and phone so the interviewee can reach the journalist before publication.
- Signature lines for interviewee and journalistBoth parties should sign and date the form. For online or email interviews, a digital signature or email confirmation is acceptable.
Professional Resources for Journalism Consent
- SPJ Code of Ethics — Society of Professional Journalists — industry standard for sourcing, attribution, and minimising harm to interview subjects.
- Student Press Law Center (SPLC) — resources for student journalists including minor interview consent guidance and First Amendment rights.
- Reporters Committee — State-by-State Recording Law Guide — which US states require one-party vs two-party consent for recording conversations.
Journalism Interview Consent Form — Sample Text
Copy this sample or browse more interview consent form examples. Download the editable version in PDF or Word below.
JOURNALISM INTERVIEW CONSENT FORM Publication / Media Outlet: [Publication Name] Journalist: [Reporter Name] Editor / Supervisor: [Editor Name] Contact: [email] | [phone] Interview Topic: [Topic] Date: [Date] ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ CONSENT TO INTERVIEW I, [Participant Name], agree to be interviewed by [Journalist Name] on behalf of [Publication] regarding [topic] on the following terms: ATTRIBUTION — please initial your choice: ___ I consent to be quoted by my full name ___ I consent to be quoted as [agreed description] ___ I wish to speak on background (not directly quoted by name) ___ I wish to speak off the record (not quoted or attributed) RECORDING — please initial your choice: ___ I consent to audio recording ___ I consent to video recording ___ Notes only (no recording) PUBLICATION RIGHTS I understand this interview may be published in [publication name], including print, online, and social media editions, and may be archived. QUOTE REVIEW: ___ I request the opportunity to review relevant quotes before publication ___ I do not request review ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ Participant Signature: ______________________________ Date: ____________ Journalist Signature: ______________________________ Date: ____________