Fillable Delaware Nation Film/Photography Permit Application (Delaware Nation)

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Delaware Nation Film/Photography Permit Application (Delaware Nation)

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The Delaware Nation Film/Photography Permit Application (Delaware Nation) form is 3 pages long and contains:

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  • 15 check-boxes
  • 32 other fields

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Delaware Nation Film/Photography Permit Application
Please take time to review the Film/Photography Permit Application and instructions before you begin
completing the application form.
All commercial lming including still photography and taping of Delaware Nation, requires a
permit issued by the Executive Committee. Exemptions/Waivers include: a) Individuals lming or
photographing only for their own personal or family use; b) Employees of print or electronic news
media when lming on-going news events; c) Filming or photography activities conducted for use in
a criminal investigation or civil or criminal court proceeding; d) Agencies and employees associated
with the Nation; e) Filming for student lm projects, educational videos, and documentaries about the
Nation; f) Travel, shing, outdoor, and other similar lming or photography projects; g) Government
agency lms; h) Enrolled citizens of the Nation; i) Filming or photography of Delaware Nation events
using personal cell phones, tablets, cameras, etc…
Permit Application Process
The Film/Photography Permit process begins when the applicant submits a complete Permit
Application and Non-Refundable Permit Fee. Upon receipt of your complete Permit Application, a
representative from Delaware Nation will contact you. Please note that acceptance of your Permit
Application should not be construed as a nal approval or conrmation of your Permit Application. No
person shall lm or engage in photography within the boundaries of the Nation without rst applying
for and obtaining a permit from the Nation. All permits shall be applied for by submitting the proper
application to Delaware Nation in advance of lming and photographing. All approved permits shall be
conspicuously displayed at the lming or photography location. The copy of the permit must be in the
possession of the permittee at all times while on location. A lm permit does not constitute or grant
permission to use or occupy private property, a private road easement, or private road. A permittee
shall obtain the private property owner’s consent prior to use of said property.
Film/Photography Permit Application Process:
• Applications for Film or Photography must be submitted to the Executive Committee at least 10
business days prior to the next regularly scheduled meeting.
• The Executive Committee at their regularly scheduled meeting will review the lm or photography
application, make a decision on the application and impose conditions on the permit as deemed
necessary.
• If approved, the President or their designee, will sign and monitor the conditions of the lm or
photography permit as approved by the Executive Committee.
A complete Film/Photography Permit Application includes:
• The signed Permit Application lled out with detailed information about the production
The following documents must be submitted with the Film/Photography Permit Application to be
considered complete and begin the review and approval process:
• Proof of General Liability Insurance
• Map/Site Layout
• If lming on private property, a location agreement is required for each private location
• Letter from school is required if the production is a student lm
• If using drone, required waiver/authorization from FAA and Anadarko Municipal Airport-F68
• Non-refundable Fee
NON-REFUNDABLE FEE
Payments must be made by check or money order made payable to “Delaware Nation.” Cash or
credit card payments will not be accepted.
Permit Fees
$250 per day of Photography
$500 per day of Filming
SUBMISSION
Please submit your complete Photography/Filming Permit Application to Delaware Nation’s Public
Relations department located at 31064 US Highway 281, building 100 or via email to wboone@
delawarenation-nsn.gov.
You may also mail your application to: Attn: Public Relations
Delaware Nation
PO Box 825
Anadarko, OK 73005
If you have additional questions please contact (405) 247-2448 x1112 or wboone@delawarenation-
nsn.gov.
NOTE: Complete Photography/Filming Permit Application must be submitted at least 10 business
days prior to the next regularly scheduled Executive Committee meeting.
Permits issued by the Tribe shall be subject to the following:
a) Permits for lming or photography shall be valid only for the dates and locations specied on
the permit.
b) Permits shall be limited only to the lming or photography activities that were specied on
the permit.
c) Other limitations deemed necessary by the Executive Committee depending on the location
and type of lming or photography activities.
NOTICE: The permittee shall hold the Delaware Nation harmless from and against any injury,
death, or property damage caused by the intentional or reckless or negligent misconduct,
act, or omission of the permittee, its employees, agents, associates, contractors and
subcontractors in connection with the lming.
LIMITATIONS ON PERMITS
Permits issued by the Nation shall be subject to the following:
• Permits for lming or photography shall be valid only for the dates and locations specied on the
permit.
• Permits shall be limited only to the lming or photography activities that were specied on the
permit.
• Other limitations deemed necessary by the Executive Committee depending on the location and
type of lming or photography activities.
APPLICANT INFORMATION
Date:_____________________ Production Start Date:_________________Start Time:________
Production End Date:_________________End Time:________
Production Company Name:__________________________________________________________
(if this is a student lm, please add school name)
Address:__________________________________________________________________________
(Street Address)
__________________________________________________________________________
(City) (State) (Zip)
Phone Number:(_____)_____________________
Applicant Name: ___________________________________________________________________
Phone Number:(_____)_____________________ Mobile Number: (_____)_____________________
Location Manager:__________________________________________________________________
Phone Number:(_____)_____________________ Mobile Number: (_____)_____________________
Non-Prot: Yes
□ No □ Federal Tax Exempt Identification Number:_______________________
Must submit a copy of determination letter
PROJECT INFORMATION
Project Title:_______________________________________________________________________
Production Type:
□Still Photography □TV Commercial □TV Movie □TV Episode □Feature Film □Music Video
□Corporate Video □Educational □Student Film □Drone □Other:_______________________
Please provide detailed information of production, synopsis of storyline, and any relevant information
below:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Total Personnel:________________
Production Location(s):______________________________________________________________
______________________________________________________ _____________________
Applicant Signature Date Approved □ Denied □
______________________________________________________ _____________________
President Signature Date
Oce Use Only
*If production exceeds time specied, another
application must be lled out and approved.
Fee Paid □ | Fee Waived □
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Delaware Nation FilmPhotography Permit Application (Delaware Nation)

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Completed 27 January 2021

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