FILM PERMIT APPLICATION

Date(Required)

Project Title(Required)

Production Co(Required)

Production Type(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Production Budget(Required)

Total Crew/Personnel/Cast(Required)

Location Manager(Required)

Cell

Office Phone(Required)

Cell

Dates of Production - Start(Required)

Dates of Production - End(Required)

Number of Production Days(Required)

Total Number of Motel/Hotel Nights(Required)

Please Check The Following if Applicable(Required)

Street Closures

Special/Other

Intermittent Traffic Control

Parking Meter Bagging

Pyrotechnics/Fire

Use of City Buildings

Other Services Needed, Please Explain

Insurance Company(Required)

Additional Insurance Received

A list of all locations must be provided at the time of permitting at least 2 weeks prior to Production. (Any location changes during production must be communicated and approved) Applicant agrees to all of City terms and conditions

Production Company Representative(Required)

PC Representative Date(Required)

*Film & Media Representative

*Film & Media Representative Date

*To be approved by the Film and Media representative.

Name

This field is for validation purposes and should be left unchanged.

FILM PERMIT APPLICATION

Shreveport-Bossier Area Information

Contact Info