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Application Form

Please allow a minimum of five days for your film application form to be processed. Large-scale, on-site film productions may require an extended planning period.

Fields marked with Mandatory Field need to be completed
SECTION 1 : THE LOCATION
Location
Shire
SECTION 2 : THE APPLICANT
Mandatory FieldName of Applicant(s)
Position / Title
Mandatory FieldOrganisation
Mandatory FieldAddress
Mandatory FieldTelephone
Facsimile
Mobile
Mandatory FieldEmail
Mandatory FieldACN / ABN
SECTION 3 : THE FILM
Mandatory FieldProduction / Project Title
Client
Mandatory FieldProposed filming date(s)
Mandatory FieldAre these dates flexible?  
Proposed start on-site
Proposed wrap-up on-site
Proposed filming start
Proposed filming wrap
Number of crew
Proposed number of vehicles
SECTION 4 : SPECIAL REQUIREMENTS
Please confirm if any of the following are relevant to you event






What arrangements are proposed to minimise public disturbance?
Mandatory FieldHave emergency services been notified of the film production?  
Mandatory FieldClosed set (public restrictions)  
SECTION 5 : RISK MANAGEMENT
Mandatory FieldIs security required on-site?  
Mandatory FieldIs traffic management required?  
Mandatory FieldIs pedestrian management required?  
Please outline your safety requirements / precautions and / or supply a safety plan by accredited safety officer. (This will be necessary for stunts, explosions, fire and firearms or any other activity of concern).
SECTION 6 : SUBMITTING YOUR FILM APPLICATION FORM
Use the following checklist to ensure you provide all necessary documentation to the City's Event Unit to process your filming application
Copy of Certificate of Currency with the City of Greater Geelong noted as an interested party (Public Liability extract)
Risk Management Plan including traffic and pedestrian management plans, site plans and safety plans (if applicable)
Residents/Trader notification letters (if applicable)

Authorisation
I have read and completed my film application form in good faith and have adhered to all the requirements specified by the City of Greater Geelong. All details provided are accurate and true and my location(s) willl be organised and managed as I have described unless advised otherwise by the City of Greater Geelong and/or its authorities. I acknowledge that the City of Greater Geelong is under no obligation to accept this application.
Mandatory Field 
Privacy Statement:
The personal information on this form is being collected to issue you with a permit to conduct filming or stills photography. The City will use your personal information for this purpose or for directly related purposes. Should you wish to access or amend this information, you can contact the City on 03 5272 5272. Failure to provide the requested information may result in the City not being able to process your event application. Depending on the location, some details will be passed onto relevant departments within the City of Greater Geelong as well as other appropriate bodies.
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