SOUTHERN CALIFORNIA NATIONAL FORESTS
Angeles, Cleveland, Los Padres, San Bernardino
PHOTOGRAPHY/FILMING REQUEST
Date of Application: Project Title:
Company:
Primary Contact/Title:
Address:
Phone:
Phone: Backup Contact/Title:
FAX:
FedEx#: Phone:
Production Dates:
I. PRODUCTION INFORMATION:
TYPE: ___ Still Photography ___ Commercial ___ TV movie ___ TV episodic
___ Feature Film ____ Music Video ___ Corporate Video ____ Other
PROPOSED LOCATION(S) (including size):
Total people on set (cast, crew, contractors, etc.):
Set Up (date, length of time, time of day):
Filming (start/stop):
Breakdown and restoration (start/stop):
Alternate filming date(s):
Parking (vehicles, equipment, aircraft):
Staging (dressing rooms, catering, portable restrooms, etc.):
STUNTS/SPECIAL EFFECT PROPOSED: ___ Pyrotechnics ___ Hazardous Materials
___ Wild Animals ___ Riparian Area ___ Developed Recreation Site
____ Other (describe):
Special Request Information: ___ Wilderness ___ Use of Aircraft (type, time of day, flight path)
___ Weather ____ Other:
II. DESCRIPTION OF ACTIVITY: (including map of area, proposed ground disturbing activities, attach
narratives and story boards as needed).
III. DESCRIPTION OF EQUIPMENT:
Special Request Information: ___ Generators ___ Cars ___ Trucks ____ RV's ___Other
Action involving vehicles and/or equipment:
Props proposed:
Traffic and safety control/special closures measures needed (have you obtained permission to use
improvements not owed by/under the jurisdiction of the United States Governments, i.e. structures, roadways, etc?):
To be completed by Forest Service:
Fees:
Cost Recovery Fee (nonrefundable)
Photography/filming fee
Unique Site fee
Total Permit fee
Collection Agreement:
Certificate of Insurance:
Bonding Information:
Property Owner Permission Req'd: ____ Yes ____ No
Road Encroachment Permit Req'd: ____ Yes ____ No
Fire/Safety Plan Required: ____ Yes ____ No
NEPA Needed: ____ Yes ____ No
Information gathered by: Date:
Fee Schedule:
Still Photography:
1-10 persons $88.98/day
11-
30 persons
$266.90/day
30+ persons $444.82/day
Filming
1-10 persons $266.90/day
11-30 persons $355.84/day
31-60 persons $889.64/day
60+ persons $1070.97/day