Film Production Application

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Film Production Application

Production Application

PORTLAND MAYOR'S OFFICE OF FILM AND VIDEO

222 NW 5^th Avenue, Portland, Oregon 97209
Ph: 503-823-4039 - Desktop Fax: 503-865-3791
www.pdc.us/film

Thank you for choosing to film in the City of Portland.

PLEASE NOTE:
Fill out all information pertinent to your production and click "submit" at the bottom before leaving this webpage or you will erase all your inputted information.

All required questions are marked with an asterisk.

Proposed Filming Dates in Portland: FROM (mm/dd/yy or click on calendar icon)*

Proposed Filming Dates in Portland: TO (mm/dd/yy or click on calendar icon)*

Production Company or Responsible Party*

Project Name*

This Project is a*

If "Other", please specify

Brief description of project*

Approximate Total of All Personnel in Portland Working on Project*

COMPANY OR RESPONSIBLE PARTY'S PERMANENT CONTACT INFORMATION

Permanent Street Address/City/State/Zip*

e.g. 1120 SW 5TH or 5TH AND MAIN or 100-200 5TH

Phone*

Fax

COMPANY'S LOCAL CONTACT INFORMATION (if different)

Local Street Address/City/State/Zip

e.g. 1120 SW 5TH or 5TH AND MAIN or 100-200 5TH

Phone

Fax

PERSONNEL CONTACT INFORMATION

Fill in only positions pertinent to your project. If a person holds more than one position, just list their name - there's no need to duplicate contact info. If no one holds a particular position, leave that position blank.

Your Name*

Your Position (e.g. producer, production assistant, etc.)*

Your Email*

Your Phone*

Production Manager/Coordinator

Production Manager/Coordinator's Name

Phone

Producer

Producer's Name

Phone

Location Manager

Location Mgr's Name

Land Line Phone

Mobile Phone

Fax

Assistant Location Manager

Asst Location Mgr's Name

Phone

Mobile Phone

MASTER LIST OF LOCATIONS

Please list Exact Address or Cross Streets or the Park or Facility for all known and potential locations.

EXAMPLES:

5247 N Abby Singer St, Apt C-47
OR: SE Below the Line Blvd and Above the Line Avenue
OR: NE section of POV Park
OR: Honeywagon High School Cafeteria

If you have more than 5 locations, you may either click "Browse" to attach a file from your computer or fax your list to 503-865-3791. Otherwise, please enter each of the dates and addresses below

DATE FORMAT and "Verify Location":

PLEASE ENTER DATES AS: mm/dd/yy (e.g. 01/11/08) or click on calendar icon.

NOTE: If you enter either an Address or Cross Streets only: you may click "Verify Location" to see a map of your location (this function doesn't work if you enter a Park or Facility)

Location #1 FROM

Location #1 TO

Location #1: Exact Address or Cross Streets or the Park or Facility

e.g. 1120 SW 5TH or 5TH AND MAIN or 100-200 5TH

Location #2 FROM

Location #2 TO

Location #2 Exact Address or Cross Streets or the Park or Facility

e.g. 1120 SW 5TH or 5TH AND MAIN or 100-200 5TH

Location #3 FROM

Location #3 TO

Location #3 Exact Address or Cross Streets or the Park or Facility

e.g. 1120 SW 5TH or 5TH AND MAIN or 100-200 5TH

Location #4 FROM

Location #4 TO

Location #4 Exact Address or Cross Streets or the Park or Facility

e.g. 1120 SW 5TH or 5TH AND MAIN or 100-200 5TH

Location #5 FROM

Location #5 TO

Location #5 Exact Address or Cross Streets or the Park or Facility

e.g. 1120 SW 5TH or 5TH AND MAIN or 100-200 5TH

ANTICIPATED SERVICES

Please indicate below any circumstances or services you may need for any of your locations or select "None".

APPLE/MAC USERS PLEASE NOTE:
To select multiple items, hold your Apple Command key while clicking on each item (it says "Hold Ctrl", but that is for PC users and can't be removed from the form).

Also, TO DESELECT: hold ctrl (on PC's) or the Apple Command key (on Macs) and re-click on item to un-choose it - don't click the delete key.

Closures or Intermittent Vehicular or Pedestrian Traffic Control*

Hold Ctrl to select multiple items

City/County Services*

Hold Ctrl to select multiple items

Use of*

Hold Ctrl to select multiple items

If "Other", please specify

NOTIFICATION

If unsure of our notification requirements, please open another window in your internet browser and click link called "Notification Requirements" on home page of Office of Film and Video website at www.pdc.us/film.

Neighborhood and Business Associations Notified

MISCELLANEOUS INFORMATION

Additional info/notes

* Required Field