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Simulated Firearms & Prop Weapons
Students: Read and Complete This Entire Form
GENERAL INSTRUCTIONS:
Use the TAB key or MOUSE click to move from field to field.
CAUTION: Using the ENTER key will automatically submit the form.

PLEASE REVIEW YOUR SUBMISSION BEFORE CLICKING "SUBMIT"
Distribution of Certificates
This is a SPECIAL INSURANCE REQUEST, it may take an additional one to two weeks to process your insurance, so start early.
PLAN ACCORDINGLY!!
Please note that simulated firearms and prop weapons must be rented or borrowed
from a licensed third-party supplier of theatrical simulated firearms and weapons.
Students can not use their own simulated firearms or weapons.

GENERAL PRODUCTION INFORMATION

Have you submitted the "Production Registration Form"?:
Yes  No

If you answered "No" this will redirect you to the proper Production Registration Form.

Original Name of Production:

Director's Name (No nicknames. List name as registered with NYU!):
First Name:
Last Name:
Insurance Contact - Email Address:
Email address must be an NYU issued email.
Must end in @nyu.edu. All others will be rejected, and your form will have to be resubmitted.

Shoots using Firearms, Squibs, Firecrackers, Blank Guns, Real Guns, etc. are not
covered under the New York University Student Film Insurance Program. Working
guns will not be insured under any circumstances. The Student Director must
supply a letter from the Rental House, stating that the prop guns and/or weapons
rented for the shoot, are physically incapable of being fired.

Also, please note that if you use a prop gun openly on your shoot in a public
place, you are required to have a police officer present. Arrangements must be
made through the Mayor's Office of Film, Theatre & Broadcasting.


Give a complete descriptive narrative on all the scenes where Simulated Weapons will be used:

List Location Where the Simulated Weapons will be used.
MUST Include Complete Location Address, Owner Name & Phone Number!

(Name & Complete Address, including Zip Code):
Location Owner Name:
Location Address:
City: State: Zip Code:

Location Owner Phone Number:


You can fax (212-995-3555) or drop off (838 Broadway, 4th Floor) the letter
from the Rental House, stating that the Simulated Weapons rented for the shoot, are physically
incapable of being fired. Please make sure your Name and Production Name are on
this letter. Your certificate will not be processed until we get this letter from you.


If you want a copy of this form for your records, print it before hitting the Submit button!


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