State Farm Agent Content Submission Portal

Submission Form

Thank you for sharing your photos and videos with us from your Good Neighbor Community Fund experience! Please fill out the following information if you would like to submit content for possible use in national media.

By checking this box, I hereby grant State Farm Mutual Automobile Insurance Company and its subsidiaries and affiliates (“State Farm”), unqualified and irrevocable permission to reproduce, publicly distribute, publicly display, publicly perform, and create derivative works from the video I am uploading. I understand and agree that State Farm, at its sole discretion, may use my property without restriction including but not limited to, use in internal materials, promotional materials, audiovisual works, and display by any means including the Internet at any time in the future.

I am of lawful age and have read and understand this Authorization and Release.