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PRODUCTION REGISTRATION FORM


 

Please use the following form to register your production with the New Hampshire Film & Television Office. The information you provide will allow us to better serve you as you prepare for your shoot. If intending to film on state property (state parks, historic sites, government buildings, etc.), this form will be used as an official permit application. For additional assistance, please call the New Hampshire Film & Television Office: 603-271-2220.


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COMPANY/PRODUCTION INFORMATION

 
 
1.   Company    (Type Answer)
 
(100 character limit; 100 remaining.)
 
2.   Production Title    (Type Answer) **Required
 
(100 character limit; 100 remaining.)
 
3.   Address **Required
 
Address Line 1:
Address Line 2:
City / State / Zip:

4.   Country    (Type Answer)
 
(100 character limit; 100 remaining.)
 
5.   Applicant Name    (Type Answer) **Required
 
(100 character limit; 100 remaining.)
 
6.   Applicant Title    (Type Answer) **Required
 
(100 character limit; 100 remaining.)
 
7.   Telephone Number    (Type Answer) **Required
 
(25 character limit; 25 remaining.)
 
8.   Fax    (Type Answer)
 
(25 character limit; 25 remaining.)
 
9.   E-mail    (Type Answer) **Required
 
(100 character limit; 100 remaining.)
 
10.   Production Type    (Select one) **Required
  Feature Film   
Television   
Documentary   
Commercial   
Music Video   
Industrial Video   
Educational   
Photo Shoot   
Short Film   
Student Film   
Other     
 

LOCATION #1 INFORMATION

 
 
11.   Location #1    (Type Answer)
 
(100 character limit; 100 remaining.)
 
12.   City/Town #1    (Type Answer)
 
(50 character limit; 50 remaining.)
 
13.   Date #1    (Type Answer)
 
(100 character limit; 100 remaining.)
 
14.   Time #1    (Type Answer)
 
(100 character limit; 100 remaining.)
 
15.   Description of Action #1    (Type Answer)
 
(500 character limit; 500 remaining.)
 

LOCATION #2 INFORMATION

 
 
16.   Location #2    (Type Answer)
 
(100 character limit; 100 remaining.)
 
17.   City/Town #2    (Type Answer)
 
(100 character limit; 100 remaining.)
 
18.   Date #2    (Type Answer)
 
(100 character limit; 100 remaining.)
 
19.   Time #2    (Type Answer)
 
(100 character limit; 100 remaining.)
 
20.   Description of Action #2    (Type Answer)
 
(500 character limit; 500 remaining.)
 

LOCATION #3 INFORMATION

 
 
21.   Location #3    (Type Answer)
 
(100 character limit; 100 remaining.)
 
22.   Date #3    (Type Answer)
 
(100 character limit; 100 remaining.)
 
23.   City/Town #3    (Type Answer)
 
(100 character limit; 100 remaining.)
 
24.   Time #3    (Type Answer)
 
(100 character limit; 100 remaining.)
 
25.   Description of Action #3    (Type Answer)
 
(500 character limit; 500 remaining.)
 

SITE INFORMATION

 
 
26.   Please list all vehicles (and their sizes) that will be parked in the vicinity of the shoot (including equipment trucks, vans, catering vehicles, dressing rooms, buses, generators, crew cars, picture vehicles, etc.) and number of cast and crew.    (Type Answer)
 
(500 character limit; 500 remaining.)
 
27.   Will any of these scenes involved the use of explosives, aircraft or firearms? If so, please describe    (Type Answer)
 
(500 character limit; 500 remaining.)
 
28. Please answer each of the following questions:    (Select one)
   
 
  Yes No
Will town/city streets be used for filming?
Will town/city streets be used for parking?
Will streets need to be closed?
Will intermittent traffic control be used?
Will this involve extraordinary noise (over 55 decibels)?
Will there be permanent or temporary construction in the area?
Will there be significant disturbance of terrain or vegetation?
Will the shoot involve night filming?
Will this require turning off street lights for any length of time?
Will you be using portable toilet facilities?
Have you made arrangement for trash disposal?
 

The New Hampshire Film &Television Office requires that all projects seeking location assistance have proof of insurance covering their production. Requests to film on state property must be accompanied by a Certificate of Insurance to be kept on file in the Film Office.

We require that your COI show a general aggregate of two million dollars ($2,000,000) naming the State of New Hampshire as an additional insured. For specific guidelines regarding your insurance, please visit Certificate of Insurance.

A copy of the Certificate of Insurance must be faxed to 603-271-3584, emailed to us as a PDF to film@nh.gov or mailed to us at: New Hampshire Film & Television Office, 19 Pillsbury Street, 1st Floor, Concord, NH 03301

By submitting, the applicant warrants that all information is true, complete and correct. The applicant agrees to comply with all applicable laws, resolutions and conditions of use, maintain the premises in good condition and return said premises in the same condition as before use for this film.

 
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