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Film Permit Submission Form

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
Local 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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