Www.film.ri.gov



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PERMISSION TO FILM IN RHODE ISLAND

PERMIT #

Title of Project:

Type of Production: ___ Feature Film

___ TV Series/Movie/Pilot

___ TV Commercial

___ Documentary/Educational

___ Corporate/Industrial

___ Video

___ Student Film

___ Other (Specify: ___________________)

Approximate RI Budget:

Producer:

Director/Show Runner:

Production Manager:

Location Manager:

Principal Talent:

Approximate Cast Size:

Approximate Crew Size:

Dates of Filming:

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Services Required: ___ Police Dept. ___ Dept. of Public Works

___ Fire Dept.

___ Railway

___ Ports

___ Parks & Recreation Dept.

___ Water Dept.

___ Health Dept.

___ Drone (Follow all FAR 107 regulations)

___ City Hall

___ State House

___ Dept. of Motor Vehicles

___ Performing Arts Venues

___ RIPTA (Buses)

Weapons/FX:

Vehicles/Trucks: ___ Camera Truck

___ Production Vans

___ Grip/Electric

___ Generator

___ Effects

___ Wardrobe

___ Honeywagon

___ Caterer

___ Motor Home/Trailer

___ Maxi Van

___ Passenger Vehicles

___ Other __________________________

Contact Name:

Contact Phone:

Contact Email:

Company Name:

Company Address:

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Locations* Dates Time Special Conditions**

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*Attach additional pages if necessary.

**Include any information as to staged violence, FX, dolly track, disruption

of vehicle or pedestrian traffic, etc.

A copy of your script or a summarization of scenes to be filmed, your crew list and a copy of your Certificate of Insurance must be submitted with your request. Also, after your shoot please submit one or two stills of the making of this project for Film Office records.

DISCLAIMER: This permit does not in any way preclude the need for a Certificate of Insurance or any other location requirements. Please contact the Film Office prior to your commencement date so we can coordinate with local law enforcement and fire agencies.

____________________________________ ___________________

Steven Feinberg, Executive Director Date

Rhode Island Film & Television Office

One Capitol Hill, 3rd Floor

Providence, RI 02908

401-222-3456

401-222-3018 (Fax)

401-222-6666 (Hotline)

Steven.Feinberg@arts.

film.

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