Applicant Information
Your Name
E-mail Address
Title of Project
Production Type
feature film
TV show
video
short film
commercial
music video
documentary
industrial
still photo
Student/Non-Profit?
Director
Producer
Crew Information
Location Manager
Loc. Man. Telephone
Loc. Man. Mobile / Pager
Location Assistant
Loc. Asst. Telephone
Loc. Asst. Mobile / Pager
Production Manager
Prod. Man. Telephone
Prod. Man. Mobile / Pager
First Assistant Director
First Asst. Dir. Telephone
First Asst. Dir. Mobile / Pager
Local Production Office
Local Office Name
Local Office Address
City
State
Zip
Country
Local Phone
L
ocal Fax
Production Company Office
Production Company Name
Address
City
State
Zip
Country
Phone
Fax
E-mail
Website
Locations
Location & Address
Int/
Ext/
Both
Date
Start Time
End Time
Special Conditions
Location Contact Name
Location Contact Phone
Details
Number of Out-of-Town Crew:
Number of Local Crew:
Number of Cast / Day-players:
Number of Background Extras:
Starring:
Story / Action Synopsis:
Police Services:
Traffic Control:
Public Services / Parking:
Neighborhood Notices:
Special Effects or Stunts:
Parking Diagram?
Additional Information:
Letter Supplied?
When do you anticipate this project to be aired or released?
Would you be able to supply the following so that we may better serve you and others in the future?
Economic Report
Final Crew List
Videotape and/or Prints
Agreement
On behalf of myself and any agents, employees, and contractors affiliated with
(Production Company), I agree to comply with the Oakland Filming Activities Ordinance and the Filming Permit Terms and Conditions, including the Insurance and Indemnification Agreement.
Date
Applicant's Signature, Title
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