diff --git a/app/views/contracts/_for_office_use_only.erb b/app/views/contracts/_for_office_use_only.erb
new file mode 100644
index 0000000..15abd19
--- /dev/null
+++ b/app/views/contracts/_for_office_use_only.erb
@@ -0,0 +1,13 @@
+<% if preview %>
+  <h1>PREVIEW ONLY</h1>
+<% end %>
+
+<p class="heading"><strong><u><%= t '.heading' %></u></strong></p>
+
+<dl>
+  <%= description_list_pair t('.description_labels.producer'), releasable.project.account.name %>
+  <%= description_list_pair t('.description_labels.production'), releasable.project.name %>
+  <%= description_list_pair t('.description_labels.employee_issued_to'), releasable.name %>
+  <%= description_list_pair t('.description_labels.issued_by'), releasable.approved_by_user_name %>
+  <%= description_list_pair t('.description_labels.date_issued'), releasable.approved_at %>
+</dl>
\ No newline at end of file
diff --git a/app/views/contracts/pdf.html.erb b/app/views/contracts/pdf.html.erb
index b430b4e..f9d72f7 100644
--- a/app/views/contracts/pdf.html.erb
+++ b/app/views/contracts/pdf.html.erb
@@ -25,6 +25,13 @@
 <div class="page">
   <%= render "contracts/signature_page", releasable: releasable, contract_template: contract_template, preview: preview %>
 </div>
+
+<% if releasable.class == MedicalRelease && releasable.approved? %>
+  <div class="page">
+    <%= render "contracts/for_office_use_only", releasable: releasable, preview: preview %>
+  </div>
+<% end %>
+
 <% if releasable.class == AcquiredMediaRelease %>
   <div class="page">
     <%= render "contracts/files", release: releasable, preview: preview %>
diff --git a/config/locales/en.yml b/config/locales/en.yml
index 06d3c44..ee0a356 100644
--- a/config/locales/en.yml
+++ b/config/locales/en.yml
@@ -288,6 +288,14 @@ en:
         print_QR_code: Print out release QR codes
         releases_automatically_organized: Releases are automatically organized as they’re submitted
   contracts:
+    for_office_use_only:
+      description_labels:
+        date_issued: Date Issued
+        employee_issued_to: Employee Issued To
+        issued_by: Issued By
+        producer: Producer
+        production: Production
+      heading: For Office Use Only
     photos:
       guardian_2_photo_heading: Second guardian photo
       guardian_photo_heading: Guardian photo
@@ -784,10 +792,10 @@ en:
         search: Search
       empty: Medical releases will appear here
       table_headers:
+        approved: Approved
         notes: Notes
         signed_at: Date Signed
         tags: Tags
-        approved: Approved
     medical_release:
       actions:
         manage: Manage
diff --git a/config/locales/es.yml b/config/locales/es.yml
index 2c8b910..d45f7d6 100644
--- a/config/locales/es.yml
+++ b/config/locales/es.yml
@@ -107,6 +107,14 @@ es:
         print_QR_code: Print out release QR codes (ES)
         releases_automatically_organized: Releases are automatically organized as they’re submitted (ES)
   contracts:
+    for_office_use_only:
+      description_labels:
+        date_issued: Date Issued (ES)
+        employee_issued_to: Employee Issued To (ES)
+        issued_by: Issued By (ES)
+        producer: Producer (ES)
+        production: Production (ES)
+      heading: For Office Use Only (ES)
     photos:
       guardian_2_photo_heading: Second guardian photo (ES)
       guardian_photo_heading: Guardian photo (ES)
@@ -290,16 +298,16 @@ es:
       release_approved: Medical release has been approved (ES)
     custom_validation_errors:
       question_answer_is_required: answer is required (ES)
-    review:
-      actions:
-        approve: Approve (ES)
-      heading: Review Medical Release (ES)
     index:
       table_headers:
         approved: Approved (ES)
     medical_release:
       messages:
         approved_tooltip: ""
+    review:
+      actions:
+        approve: Approve (ES)
+      heading: Review Medical Release (ES)
   public:
     appearance_releases:
       create: