Film Permit Application
**Film Permit must be approved and signed by both parties before production can begin**
Production Company
*
Primary Contact
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Project Name
Project Description
Production Information
Producer Name
First Name
Last Name
Director Name
First Name
Last Name
Location Manager Name
First Name
Last Name
Type of Production (select all that apply)
*
Feature Film
Television Production
Commercial
Photography
Short Film
Drone
Corporate Production
Other Video
Audio Recording
Description of scenes to be filmed (additional information can be attached)
Location Information
Site Name
*
County
*
Exact location(s) within state-owned property:
*
Date first property use will begin:
*
-
Month
-
Day
Year
Date
Anticipated filming production at state location (additional sheets may be attached):
Anticipated hours of operation for filming production (specify times):
*
Date property use will end (i.e., date vacated by all equipment and crew):
*
-
Month
-
Day
Year
Date
Restoration of property is to be completed by (name of staff or company):
Power requirements and type of power supply to be used:
Anticipated number of people on location during production hours:
Anticipated resources/equipment to be brought on property during production (owned/leased/rented by company):
Anticipated need for other state resources (traffic direction, law enforcement, utilities, etc.):
Number of Vehicles at Location
Trucks
Cars
Vans
Caterer
Motor homes
Generator
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Submitted by:
*
First Name
Last Name
Email
*
example@example.com
Date
*
-
Month
-
Day
Year
Date
Submit for Approval
Should be Empty: