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 need to be completed
SECTION 1 : THE LOCATION
Location
Shire
SECTION 2 : THE APPLICANT
Name of Applicant(s)
Postition / Title
Organisation
Address
Telephone
Facsimile
Mobile
Email
ACN / ABN
SECTION 3 : THE FILM
Production / Project Title
Client
Proposed filming date(s)
Are these dates flexible?	YesNo
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	Filming in a residential area Filming in a business area Out of hours filming (8pm-7am) Loud noises Explosions and fire Firearms (use of) Special equipment Stunts work
What arrangements are proposed to minimise public disturbance?
Have emergency services been notified of the film production?	YesNo
Closed set (public restrictions)	YesNoN/A
SECTION 5 : RISK MANAGEMENT
Is security required on-site?	YesNo
Is traffic management required?	YesNo
Is pedestrian management required?	YesNo
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.
	Yes, I agree
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 5227 0270. 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.