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Online Film Permit
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Online Film Permit
Use this form to submit a Film Permit
Production Date(s) Start Date
Production Date(s) End Date
Production Company Name
Production Company Representative:
“Day Of” Phone:
Dates & Times of Filming Activity, Including Set Up & Take Down
Dates & Times of Filming Activity, Including Set Up & Take Down Start Date
Dates & Times of Filming Activity, Including Set Up & Take Down Start Time
Dates & Times of Filming Activity, Including Set Up & Take Down End Date
Dates & Times of Filming Activity, Including Set Up & Take Down End Time
• Upload signed waiver/letter of authorization from property owner, if filming will take place on private property.
• Upload Certificate of Insurance
► Insurance provisions can be found
• Upload Insurance Additional Endorsement Page
► Additional Endorsement Page is separate and in addition to the Certificate of Insurance. Must name City of Fremont as additional insured.
• Upload Notification to Neighbors
Number of Talent:
Number of Crew
• Upload separate page to show parking plans (draw plot plan).
Description of vehicles or trailers to be parked on public streets or sidewalks:
Extraordinary Scenes & Special Effects (Check All That Apply)
Use Of Open Flame
Use of Firearms
Use of Animal(s)
Use of Aircraft
Other (Explain below)
Describe scene(s) to be filmed, including the use of any checked items above. (storyboards not required)
Security - explain security provisions
• Upload signed "Indemnity & Hold Harmless Agreement"
► "Indemnity & Hold Harmless Form" can be found
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Americans with Disabilities Act (ADA)
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