Form Center

2. Agreement*

   Review the production guidelines and code of conduct.

   1. I have read the Production Guidelines and commit to abide by the code of conduct.

6. Applicant Information

8. Production Title*
10. Company Name*
12. Address Line 1*
14. Address Line 2
16. City*
17. State*
18. Zip Code*
20. Point of Contact First Name*
21. Point of Contact Last Name*
23. Phone Number*
24. Fax Number
26. Email Address*
28. Production Type*

    1. Photography
    2. Television/Feature Film
    3. Documentary

    1. Commercial Advertisement
    2. Student Project

    1. Multimedia
    2. Music Video

32. Location Information

34. Location Requested*
36. Start and End Date and Time*
    Start and End Date and Time Start Date

    Start and End Date and Time Start Time

    —

    Start and End Date and Time End Date

    Start and End Date and Time End Time
38. Additional Prep/Strike Days
40. Brief Description of Scene*

    NOTE: Access to this location by the public must be maintained. At no time should doorways, halls, fire escapes or sidewalks be obstructed in such a way as to prohibit pedestrian access unless otherwise agreed upon. All capacity limits must be observed.

41. Property Alterations*

    Describe all requests for property alterations (including painting, vegetation removal, and addition/removal of light fixtures). Attach diagrams/additional information as needed.

45. Logistics Information

47. Total Number Cast and Crew*
48. Extras holding area requested*

    1. Yes
    2. No
49. How many?*

    This office will assist in locating appropriate area for extras holding.

51. Total number of vehicles?*
52. Basecamp parking

    1. On-site
    2. Off-site
53. Number and size of tents
55. Security requested from NHC Sheriff's Office*

    1. Yes
    2. No
56. Intermittent traffic control requested

    1. Yes
    2. No

    NOTE: Traffic control on state-maintained public roadways located outside of city or town limits must be coordinated with NC Department of Transportation and/or New Hanover County Sheriff’s Office.

58. Name of insurance carrier*
59. Attach a copy of Certificate of Liability Insurance.*

    See guidelines for instructions for minimum insurance requirements.

61. Special Effects

    Describe any special effects to be used including gun fire, explosions, stunts, and use of animals. NOTE: Some uses may require a fire permit.

Leave This Blank:


75. 1. Receive an email copy of this form.
76. Email address

    This field is not part of the form submission.

77. Submit

* indicates a required field