Film Request Form Privacy The Town of East Fremantle is collecting your personal information for the purpose of responding to your request. Some of the information may be provided to Town Contractor's for the purposes of addressing your request. Your information will not be provided to any other person or agency unless you have given us permission, or where legally obligated to do so. If you would like to know more about how the Town handles your personal information please see the Town's Privacy Statement and Collection Notice. ------------------------------------------------------------------------------------------------------------------------------------------------------------------ If you wish to film in the Town of East Fremantle, you must complete this application and obtain approval from the Town 14 to 21 days prior to filming. For approval of Traffic Management Plans (TMP), please note the following assessment timeframes:• 14 working days for simple plans, provided all required information is supplied.• 21 working days for complex plans, including partial or full road closures, provided all required information is supplied. We will advise you of the outcome as soon as possible. If you follow up before the assessment timeframes listed above, we will not be able to provide an update, as your TMP will still be under review. Applicant details Name of organisation/education institution*This field is required. * Required Field. Contact name*This field is required. * Required Field. Contact phone number Contact email address * Please enter email address Filming details Contact name*This field is required. * Required Field. Phone number*This field is required. * Required Field. Date of filming*This field is required. * Required Field. Start time*This field is required. * Required Field. End time*This field is required. * Required Field. Preferred location(s) to shoot*This field is required. * Required Field. Description of film content*This field is required. * Required Field. Intended audience and where film will be distributed How many people will be onsite? What type of equipment are you bringing to the shoot?*This field is required. * Required Field. Will you be using drones, lights, lasers, generators, animals, helicopters, boats, fireworks/explosives?*This field is required. YesNo Please provide details: * Required Field. Does your film positively promote the Town of East Fremantle? YesNo Please provide details: * Permits Will you require traffic control, footpath or road closure?*This field is required. YesNo * Required Field. Do you require use of a Town's park or reserve? YesNo Please provide details: Will you be filming on or along the river?*This field is required. YesNo Please provide details: * Required Field. Documentation Please upload proof of Public Liability Insurance (certificate of currency)*This field is required. 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 Please upload your Traffic Management Plan (if applicable) 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 Please upload site map Max File Size: 15.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Please upload other supporting documents 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 Type the code from the image: Do not fill this textbox.