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:
Page 1
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:
Page 2
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.
Page 3
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