Request to Film within the Shire of Coolgardie

Contact Name*

Organisation / Production Company*

Organisation / Production Company ABN*

Upload current Certificate of Currency*

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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?

If other, please provide more details

Traffic Management Plan

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Where will the final production be available to view?*

CASA Approval

Please Note: Civil Aviation Safety Authority (CASA) Regulations currently prohibit drones in public spaces. Contact CASA for details and ensure that any requirements set forth by CASA relation to licences or permit are secured prior to submitting this application.

Please upload your CASA Approval

Max File Size: 10.00 MB
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