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
Dates of Filming
Times

Please list each location requested in Palm Beach County:                    

Specific insurance language will be sent to you via email for each municipality you are requesting.

 Please describe the filming activities:

Identify any special MUNICIPALITY, COUNTY, or TAXING DISTRICT assistance required


If a shoot is cancelled, it is the sole responsibility of the Production Company to notify hired law enforcement. The Production Company will assume responsibility for compensation should the Production Company fail to deliver proper notification.

Identify all Unusual Activities:

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.

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