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Film Commission > Permit Info > Permit Application Form

Permit Application Form

Production Information Form

Production Information
Date:
Name/Title:
Project Title:
Feature Commercial TV Industrial Shoot
Music Video Still Shoot Short Subject
Producer:
Director:
Production Company Office
Name*
Address

Tel #*
Fax #
Cell #
Email
Crew
Location Manager:

Tel #
Fax #
Cell #
Email
Location Assistant
Location Scout

Tel #
Fax #
Cell #
Email
Production Manager

Tel #
Fax #
Cell #
Email
First Assistant Director

Tel #
Fax #
Cell #
Email
Local Production Office
Local Office Name
Address

Tel #
Fax #
Cell #
Email
Locations
Date Start Time End Time Special Conditions
#1
#2
#3
Production Details:
Starring:
Synopsis:
Police Services:
City
County
CHP

Traffic Control:
Public Services:
Neighborhood Notification:
Special Effects or Stunts:
Additional Information:

Thank you for choosing San Mateo County for your production!

San Mateo County Film Commission
San Mateo County Convention & Visitors Bureau
111 Anza Blvd Suite #410 Burlingame, CA 94010
650-348-7600 (fax) 650-348-7687

* Required

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