Filming Application

Filming Application

CITY OF COFFS HARBOUR
This application is for filming on City of Coffs Harbour-owned property, in open spaces and outdoor areas such as footpaths, roads and parks within the City of Coffs Harbour area. Please ensure that you have read the City of Coffs Harbour Code of Conduct as this includes the terms and conditions of your filming approval. If the information in this application is inaccurate it may lead to the cancellation of approval at any time. This application does not constitute a filming permit or location contract.
Applicant Details
Applicant Organisation*
Name*

First NameLast Name
Position (eg. Producer, Location Manager)*
ABN/ ACN*
Production Company/Organisation Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Phone*
Email*
example@example.com

Production Contact Details
Production Company*
Organisation that has contracted your services*
Producer Name*

First NameLast Name
Producer Mobile Phone*
Producer Email*
example@example.com
Production Manager Name

First NameLast Name
Production Manager Mobile Phone
Production Manager Email
example@example.com
Location Manager Name

First NameLast Name
Location Manager Email
example@example.com
Location Manager Mobile Phone

Production Details
Name of Production*
Production Summary*
Type of Production
Location Details

Location 1
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date (include proposed date and back up/wet weather date):*
Dates of additional bump in/bump out (if required):
Time of use (including crew arrival and departure):*
Description of Activities*
Number of Personnel:*
Number of Vehicles:*

Please attach a parking plan (including catering and unit base), specifying street location, number of spaces required and any applicable parking restrictions:
File Upload*

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Will road closure or temporary traffic control be required in conjunction with any of your filming: *
Please list if your shoot involves any of the following: Street dressing, Reconstruction of crime/emergency, Cherry pickers/lighting tower, Low loaders, Camera crane, Car chases/driving sequences, Camera track, Crowd control/security, Stunts, Generator, Firearms/gunfire, Children, Smoke effects, Scaffolding, Animals, SFX.*
Is there another location for filming:
Will you be using a drone/UAV/RPA for filming:
If your production includes commercial drone/ remotely piloted aircraft (RPA) use, additional restrictions apply. Further information and licensing procedure enquiries can be directed to the Civil Aviation Safety Authority or phone 131 757.
Additional Information Required

Please attach a copy of your Public Liability Insurance Certificate of Currency:
File Upload*

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Please attach a copy of the Authorised Safety Report:
File Upload

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Please attach a copy of the Environmental Management Plan:
File Upload

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Please attach a Community Notification letter:
File Upload

Cancelof
Applicable fees and charges

To view the applicable fees and charges associated with this application, please refer to City of Coffs Harbour's adopted fees and charges.
Privacy and personal information protection notice:

To view the privacy and personal information protection notice please refer to the following link https://www.coffsharbour.nsw.gov.au/Your-Council/Publications-and-forms/Forms/Privacy-and-personal-information-protection-notice
Privacy Acknowledgement

I acknowledge the privacy and personal information notice as outlined above. I declare that to the best of my knowledge all particulars supplied by me are correct and completed. I understand that inaccurate or false statements may cause my application to be delayed or rescinded.
Applicants signature*

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Filming Application

Applicant Details

Production Contact Details

Production Details

Location Details

Additional Information Required

Applicable fees and charges

Privacy and personal information protection notice:

Privacy Acknowledgement