Coogan Accounts

CA Law requires you to set up a Minor's Blocked Trust (Coogan) account for your child to work in the Entertainment Industry.  Production Companies will need  this information to process payments.  Visit your credit union or bank to set up an account today!

MINOR’S TRUST ACCOUNT INFORMATION



Minor’s Full Legal Name:  _______________________________________________________________

 

Minor’s Name on Trust Account:  _________________________________________________________

 

Social Security Number:  ________________________________________________________________

 

Date of Birth:  ________________________________________________________________________

                                                Month                           Day                              Year

 

Full Legal Name of Trustee:  _____________________________________________________________

 

Trustee’s Name(s) on Account:  __________________________________________________________

 

 

 

FINANCIAL INSTITUTION INFORMATION:

 

 

Name of Bank:  _______________________________________________________________________

 

Branch Address:  ______________________________________________________________________

 

                        ________________________________________________________________________

                                    City                              State                             Zip

 

Account #:  __________________________________________________________________________

 

Routing #:  __________________________________________________________________________

 

 

 

 

PERSON COMPLETING THIS FORM:

 

I declare under penalty of perjury under the laws of the state of California that the information given above is true and correct.

 

 

Name:  ___________________________________________  Relationship:  _______________________

 

Contact #:  ________________________________________    Date:  ____________________________

 

Signature:  ___________________________________________________________________________

 

 

NOTE:  A true and accurate photocopy of any information received from the financial institution confirming the creation of the trust account must be attached.