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Animals, Livestock & Pets
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.

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.

Please Give A Detailed Description Of Your Shoot:


Please Describe, In Complete Detail, The Type of
Animal being used in your shoot:

Note: Not all Animals and/or Pets will be acceptable!
Describe Safety Precautions Being Exercised:



Will the Animal Owner and/or Trainer be on the set at all times?: Yes No

If No, explain in detail:


Has the Owner / Trainer conveyed to all Cast & Crew specific safety concerns?: Yes No

Where will Animals be kept when shoot does not involve the Animal?:


Have you confirmed that Animals are current with all inoculations, permits, licenses, etc.?: Yes No

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