1. I, _______________ [name of Interviewer], agree, in consideration of a payment of _________, to conduct an oral history interview with _______________ [name of Interviewee], for the ______________________ [name of court or agency], as a work for hire. I acknowledge that my work will be in the public domain and I waive any claim I might have to copyright of any material contained in the interview, including my own words. I also waive any claim I might have to any royalties derived from any work published or disseminated by the _______________________ [name of court or agency] or any other party which includes any part of the material resulting from the interview.

2. I agree that I will make no use of the interview and the information contained in it until it is concluded and edited, and that I will use it then if permitted by the _____________________ [name of court or agency] only according to the policies, rules, regulations, restrictions and protocols established by the ___________________ [name of court or agency], and restrictions placed on the material by agreement between the ______________________ [name of court or agency] and ______________________ [name of Interviewee] regarding the use of and access to the product of the interview and information contained therein.

(Signature)_____________________________________________________
Interviewer Date Place

(Signature)_________________ __________________________________
Representative of Court or Agency Date Place