Commercial Filming/Photography Application Form

This online form is to obtain permission to conduct specified commercial filming and/or Photography in Falls Creek Alpine Resort. Crown Land (Reserves) Act 1978 (Vic), Alpine Resorts (Management) Act 1997 (Vic) Filming as specified under Filming Approval Act 2014 (Vic).

Applicant Details

First Name *

Last Name *

Organisation (if applicable)

Address *

Street address

City

State

Postcode

Preferred contact phone number *

Email Address *

Onsite Contact on Day of Filming/Photography

First Name *

Last Name

Position/Title *

Contact Number *

Email Address *

Billing Information (if required)

Billing Contact

Billing Address

Street address

City

State

Postcode

ABN

Contact Number

Email Address

Project Information

Project Name

If other, please specify

Date in *

Date out *

Activity Times *

Location *

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Brief Summary of Synopsis of the Scene Activity/Photography *

Number of People on Location (for e.g staff/crew) *

Number of vehicles used: *

Trucks over 4.5 tonnes:

Will the production need a unit base? *

YesNo

If yes, location of unit base:

Will the filming require any temporary structures? *

YesNo

Will the filming require any traffic or pedestrian management? *

YesNo

If yes, what type of management is required?

Company providing management?

Date and time of required management?

Will the filming/photography involve any of the following?

Details of Public Amenity activity:

Will the filming/photography identify Falls Creek through branding or identifiable locations

YesNo

If yes, please provide details:

Please attach the following information to your application:

Proof of Public Liability Insurance ($20M) *

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Traffic Management Plan (if required)

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Site Map *

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Running Sheet (if filming)

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Stakeholder Communication Plan (if required)

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Risk Management Plan *

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Other permits/approvals if required

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Victorian Screen Industry Code of Conduct (optional)

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Head Lessee Consent (if applicable)

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DECLARATION I hereby declare the above information is an accurate representation. If any of theinformation provided, or any other relevant information that will affect the filming/photography or impact in anyway the Falls Creek Alpine Resort, I will declare it to Falls Creek Alpine Resort in a timely manner prior to the dates specified for filming. It can also include paragraphs.

Signature of Applicant: *

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Name of Applicant: *

Date *

Falls Creek Alpine Resort Authorisation *

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Authorisation Date: *

Authorised: *

YesNo