Online Film Permit

2. Online Film Permit
   Use this form to submit a Film Permit

   Use this form to submit a Film Permit

4. Production Date(s)*
   Production Date(s) Start Date

   —

   Production Date(s) End Date

6. Production Company Name*

7. Primary Phone: *

8. Email:*

10. Address: *

11. City: *

12. State*

13. Zip*

15. Production Company Representative:*

16. Title: *

18. Primary Phone: *

19. “Day Of” Phone: *

20. Email: *

22. 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

26. Filming Location(s)*

28. Property Ownership*

    1. Public

    1. Private

    1. Both

    1. Don't know

30. • Upload signed waiver/letter of authorization from property owner, if filming will take place on private property.

32. • Upload Certificate of Insurance

    ► Insurance provisions can be found HERE

34. • 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.

36. • Upload Notification to Neighbors

38. Number of Talent: *

39. Number of Crew*

41. • Upload separate page to show parking plans (draw plot plan).

43. Description of vehicles or trailers to be parked on public streets or sidewalks:*

45. Extraordinary Scenes & Special Effects (Check All That Apply)*

    1. Pyrotechnics/Explosives
    2. Simulated Robbery
    3. Use Of Open Flame
    4. Car Chase(s)
    5. Use of Firearms

    1. Use of Animal(s)
    2. Use of Aircraft
    3. Other (Explain below)
    4. None

47. Describe scene(s) to be filmed, including the use of any checked items above. (storyboards not required)

49. Security - explain security provisions

51. • Upload signed "Indemnity & Hold Harmless Agreement"*

    ► "Indemnity & Hold Harmless Form" can be found HERE

Leave This Blank:


53. 1. Receive an email copy of this form.
54. Email address

    This field is not part of the form submission.

55. Submit