Application for Filming

Organisation

Contact Name

Phone

e-mail

Mobile

Address

Production Name

Production Type

Location

Setup Time

Start Date

Day

Month

Year

End Date

Day

Month

Year

Number of People on Location

Cast

Crew

Description of Production

Filming Details

Please refer to the Event Application Guide for further information, templates or contact details as required.

Do you have public liability insurance?

Yes

No

Name of Insured

Name of Insurer

Level of Cover

Policy Number

Expiry Date

Day

Month

Year

Do you have permission from the venue/land manager/owner?

Yes

No

Will the production require a unit base?

Yes

No

Will the production require traffic or pedestrian management (including road closures)?

Yes

No

Have you completed an Emergency Management Plan or Risk Management Plan?

Yes

No

Will the filming require any large equipment (cranes, light towers, scaffolding)?

Yes

No

Will the production involve fire arms, stunts, pyrotechnics or other at risk activities?

Yes

No

Have all emergency authorities been notified of the event?

Yes

No

Have you attached a running sheet/schedule of your production activities?

Yes

No

Have all effected stakeholders been advised of the production?

Yes

No

Site Plan

Please attach a site plan of the event including the following details:

Do you have a environmental management plan? e.g. site protection, waste plan

Yes

No

Does the filming have access to toilets?

Yes

No

Will there be any temporary structures e.g. marquees, tents

Yes

No

Will the filming require parking spaces at the location?

Yes

No

Do you have access to water?

Yes

No

Do you require access to electricity?

Yes

No

Will the production erect any barricades or temporary fencing?

Yes

No

Required Files

Please upload a zip or single file the the following information where you selected yes above:

Insurance certificate of currency
Letter of permission from the venue/land manager
Unit base to your site plan
Traffic management plan, details of your traffic management company and VicRoads permits
Emergency Management Plan or Risk Management Plan
Details of large equipment requirements
Victoria Police approvals and permits
Letter/advice informing emergency authorities
Running sheet of activities to take place in the municipality including times and details
Notification letter sent to businesses and residents effected by filming
Details on toilets, temopraray structures, parking spaces, water, electricity, barricades/fencing.

Upload attachments

Authorisation

I declare that all information supplied in this application is true and correct and I am authorised to sign on behalf of the organisation. I understand that this application can only be approved once all the attachments outlined above and any additional information requested as a result of this application have been provided to Council. All details provided are accurate and the filming will be organised and managed as described unless otherwise authorised by Ararat Rural City Council.

Do you agree to the above authorisation terms *

Yes

No