Production Company
Name
Title
Address
Apt/Suite
Country
City
State/Province
Zip/Postal Code
E-mail
Telephone
Fax
Mobile
Project/Title
Address/Hotel/Phone
# Of Room Nights (out of town crew/talent multiplied by nights stayed)
Type
Date of Prep:
Dates of Filming
Times

Locations in Palm Beach County: Specific insurance language will be sent to you via email for each municipality you are requesting.

Identify all Activities involved in the special effects:

The FTC shall require script approval for all scenes shot on Palm Beach County School Property. Additionally, films must not use the School name or contain scenes depicting alcohol, tobacco and drug use, nudity, or violence. Production Company shall contact Film Commission, not municipality staff, should any interruptions arise on or near the set.

Complete written description and location of Special Effect(s):

The production company must provide a copy of professional license issued to the individual(s) who will execute the special effect. After submitting your application, please UPLOAD a copy of the license by using the link in the sidebar navigation titled "Upload License Here".

Signature of authorized individual(s) who will execute the special effect:

Estimated Budget $
Production Days
Est Personnel Per Day
Local PB County Crew