Application for filming in the Tamworth region Applicant Details Applicants First Name* - required Applicants Last Name* - required Production Company* - required Position* - required Street Address* - required Suburb* - required State* - required Select ACT NSW NT QLD SA TAS VIC WA Postcode* - required Phone Number* - required Mobile Number Email Address* - required ACN* - required On-site production company representative contact details: Production Manager Name* - required Production Manager Mobile Number* - required Location Manager Name* - required Location Manager Mobile Number* - required Do you consent to Tamworth Regional Council updating their records with the information provided above?* - required Select Yes No Production Details Type of production (tick one)* - required TV Commercial Documentary TV Drama Feature Film Corporate Video Short Film Music Video Student Film OtherOther text Title of production (or name of product if TVC)* - required Number of cast and crew* - required Number of essential parking spaces Construction details (supply full details of any proposed temporary sets/major dressing etc)* - required Special requirements (eg. cherrypickers, lifts, wind machines, SFX etc)* - required Dangerous substances (list all dangerous substances or articles to be taken on to the location)* - required Details of filming Please list all applicable filming locations. To add more than one, click the blue “Add new” box. Location of filming* - required Date of filming* - required Time of filming* - required Parking and traffic management Upload a list of production vehicles by type, registration and size that require parking. Upload production vehicles documents Upload details of any proposed traffic managementState whether Police or RTA accredited personnel will control. If RTA accredited persons please provide names and details of accreditation. Upload traffic management documents Would you like Council to prepare your Traffic Management Plan on a cost recovery basis?* - required Yes No Required uploads Proof of Public Liability Insurance Cover to a minimum amount of $20 million* - required Authorised Safety Report (where production utilises special effects or equipment) Proof of Consent of Owner of Land (where production involves filming on non-council land) Design Layout Plan (where temporary structures are to be erected) Traffic Management Plan (for road closures, pedestrian and cycling access and parking where vehicle numbers exceed 20) Conditions of Approval Conditions of ApprovalThe permission is granted for the licence period. In the event that filming is not completed within this time, the Producer shall apply to extend the licence period.The Producer agrees to indemnify and hold the Council harmless against and from any and all liability and loss, which the Council may suffer by reason of any accidents or other damage to the Property or bodily injury including death, caused by the negligence of any of its employees on or about the Property.The Council agrees to notify the Producer in writing within fourteen days of completion of the Producer’s use of the Property of any damage claimed to arise from the Producer’s use of the Property and to allow the Producer and its representatives access to the Property to assess and (where appropriate) rectify any such damage.The Producer warrants to effect Public Liability Insurance for a sum no less than $20 million.The Producer shall have the right to represent the Property in the Production and trailers, film clips, stills, advertising and publicity material under any name (whether real or fictional) and in any manner.The Council shall be acknowledged in the screen credits of the Production where such credits exist.The Council hereby expressly disclaims any right or interest in the Production including copyright therein and acknowledges that the Producer has the unfettered right (without payment of further fees) to exhibit and license other to exhibit and to otherwise exploit in all media throughout the world all or any part of those scenes of the Production photographed or recorded at the Property.PLEASE NOTE: If the information on this application is inaccurate or insufficient it may lead to the cancellation of an approval at any time. I declare that I am authorised to complete this form on behalf of the Production Company specified in this application* - required I declare that the information in this application is accurate and correct to the best of my knowledge* - required I declare that I have read and understaood the Conditions of Approval Privacy Statement Personal information supplied to or collected by Tamworth Regional Council will only be stored and processed by Council for lawful purposes directly related to the functions and activities of Council. Any personal information supplied will only be disclosed to a third party for the purpose of performing a lawful function or activity and for no other purpose. Disclosure of personal information to a third party will be in accordance with Tamworth Regional Council's Privacy Management Plan. RecFullName Mandatory field(s) marked with *