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Bureau of Land Management
Filming on Public Lands

Required Form -- DETAILED DESCRIPTION OF FILMING ACTIVITY

***Print this form, fill it in, and send it to the appropriate BLM office.***

1. Company Name:

2. Production Manager & Phone #:

3. Alternate Contact & Phone #:

4. Site Location/Name:


5. Specific location (ie, what part of lake bed/dunes,etc.):

6. Dates & hours of use:

7. Number of personnel to be on location (include everyone):

8. Animals to be on location:

9. Describe activity to occur in detail (if possible, attach a copy of the story board):



10. List numbers and type of equipment, vehicles, and aircraft to be on location:

# Cameras:

# Small vehicles (< than one ton):

# Large vehicles:(> than one ton):

# Aircraft:(numbers and type):


 

11. Describe props and sets to be used/constructed:

12. Describe any explosives to be used:

13. Describe any pyrotechnics to be used:

SIGNATURE:____________________________________________________DATE:____________

For more information on film permitting, please contact Vanessa Engle.