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International Shoot
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!!
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.

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.

PRODUCTION INFORMATION

Name of Production:

Location (Where are you going?):

Date Leaving:

Date Returning:

Actual Number of Shoot Date(s), Including Rain Date(s), During Time Frame Given Above:

Detailed Description Of Your Shoot:


Are There Going To Be Any Hazardous Activities During This Shoot?: Yes No

If Yes, Please Explain In Detail?:

Will Equipment be rented before you depart or from local foreign vendors?:
Before Departing Local Foreign Vendors

How will Equipment be transported (Please provide complete details as well as safety procedures to be followed)?:

Please list the names of the people traveling with you:


Number of United States Nationals traveling abroad:

Number of Third Country Nationals (If zero, enter 0):

Any Local Hires?: Yes No

If Yes, please list names or type of worker being hired:


Name and Telephone Number of Contact, outside United States:


Will you be subcontracting with a local Production Company?: Yes No

If yes, please provide Production Company Name, Contact Name,
Address, Telephone and Fax Numbers:


Maximum number of people traveling in any one conveyance at any one time:


What is your budget for this shoot?:


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