Request to Film in the Shire of Coolgardie

Contact Name*

Organisation / Production Company*

Organisation / Production Company ABN **

Address

Street Address:

City:

State:

Post Code:

Country:

Contact Email*

Contact Number*

Project Name*

Synopsis of Filming Project

Type of film*

Proposed Filming Start date*

Proposed Filming End date*

Total number of cast and crew*

Summary of Proposed Location(s)*

Will there be any anticipated disruption to surrounding areas, such as road closures, loud noises etc?*

YesNo

Traffic Management Plan

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Will there be any machinery or equipment, including drones, used during filming?

YesNo

CASA Approval*

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Where will the final production be available to view?

YesNo

Request to Film in the Shire of Coolgardie

Request to Film within the Shire of Coolgardie