Fillable Film Permit Application2017 OmniForm Form

Fill Online, Printable, Fillable, Blank Film Permit Application2017 OmniForm Form Form

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Film Permit Application2017 OmniForm Form

On average this form takes 25 minutes to complete

The Film Permit Application2017 OmniForm Form form is 2 pages long and contains:

  • 1 signature
  • 4 check-boxes
  • 94 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Hayward

BROWSE CITY OF HAYWARD (CA) FORMS

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LOCAL PRODUCTION OFFICE
Local Office Name:
Local Address:
City:
State:
Zip:
PRODUCTION COMPANY OFFICE
Production Company Name.
Address:
City:
State:
Zip:
Telephone:
Fax:
E-mail:
Website:
-
-
Film Permit Application
C I T Y
0 F
HAYWARD
Project Title:
Estimated Air date, Print Date, and/or Episode # & Title:
Production Type: (Circle one.)
Student/Non-Profit
Producer:
Director:
CREW:
Location Manager:
Telephone:
Cell/Pager:
Location Assistant/Scout:
Telephone:
Cell/Pager:
Production Manager:
Telephone:
Cell/Pager:
First Assistant Director:
Telephone:
Cell/Pager:
Local Telephone:
Local Fax:
HAYWARD POLICE DEPARTMENT
300 W. Winton Ave.
Hayward, CA 94544
510/293-7000 - FAX: 510/293-7183 TDD: 510/783-8884
Feature Commercial Television Industrial Music Video Still Photography Short Subject PSA Documentary
DETAILS:
Number in Cast:
Number in Crew:
Proof of Insurance
(Please attach documentation.)
Starring:
Synopsis:
Police Services:
Traffic Control:
Public Services / Parking:
Parking Diagram Supplied:
Neighborhood Notification:
Copy of Letter Supplied:
Special Effects or Stunts:
Additional Information:
On behalf of myself and any agents, employees, and contractors affiliated with
Approved
Permit ID Number:
Issue Date:
Denied
Reason:
LOCATIONS:
Location and Address
INT/
Date
Start
End
Special Conditions
Location Contact
Location Contact
EXT
Time
Time
Name
Telephone
*Please list complete information for additional locations on a separate sheet.
Approval Police Dept._____________
Approval Fire Dept.____________
Approval Development Review Administrator______________
City Attorney ______________
(Production Company), I agree to comply with the Hayward Filming Activities Ordinance and the Filming Permit Terms and
Conditions, including the Insurance and Indemnification requirements.
Applicant's Signature, Title
Date
For office use only.,
HAYWARD POLICE DEPARTMENT
300 W. Winton Ave.
Hayward, CA 94544
510/293-7000 - FAX: 510/293-7183 TDD: 510/783-8884
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Film Permit Application2017 OmniForm Form

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Completed 11 July 2020

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