Street Use Request (Film production form)
Example form for production companies to request specific street blocks and parking for filming activities.
Street Use Request
To be submitted with a film location worksheet and a map.
Arts, Culture & Events, 720 Douglas St. Victoria BC V8W 3M7 250.361.0580 fax: 250.361.0385 dmcconachie@victoria.ca
| Production Co: | Office Ph: |
| Production Title: | Office Fax: |
| Location Manager: | LM Cell #: |
| Location: | Date(s): |
Date required by: __________ (day of week) __________ (month) __________ (date) Time: __________ Date required to: __________ (day of week) __________ (month) __________ (date) Time: __________
Block Number(s): __________ Street: __________ Side: __________
From: __________ To: __________ Use specific landmarks, such as - intersecting streets, meter numbers, lamp post numbers, building addresses or property lines, or other identifiable markers. (work trucks / pic / cir / gen/ lighting)
Date required by: __________ (day of week) __________ (month) __________ (date) Time: __________ Date required to: __________ (day of week) __________ (month) __________ (date) Time: __________
Block Number(s): __________ Street: __________ Side: __________
From: __________ To: __________ Use specific landmarks, such as - intersecting streets, meter numbers, lamp post numbers, building addresses or property lines, or other identifiable markers. (work trucks / pic / cir / gen/ lighting)
Date required by: __________ (day of week) __________ (month) __________ (date) Time: __________ Date required to: __________ (day of week) __________ (month) __________ (date) Time: __________
Block Number(s): __________ Street: __________ Side: __________
From: __________ To: __________ Use specific landmarks, such as - intersecting streets, meter numbers, lamp post numbers, building addresses or property lines, or other identifiable markers. (work trucks / pic / cir / gen/ lighting)
Film Office to confirm:
Placement of generator(s) __________ Catering __________ Circus & Crew Park __________
Mar-05