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2. Company name*
3. Phone number*
5. Address*
6. City and Zip Code*
8. Authorized representative*
9. Contact phone number*
10. Contact Email*
12. Location Manager*
13. Location Manager phone number*
15. Film Title*
16. Type of property (check one)*

    1. City Street
    2. Park

    1. Private Property
    2. Other
18. Location(s) and address(es) where activity is to be conducted*
20. Number of days*
21. Date (s)*
23. Hours*
24. Important - No equipment or personnel are authorized on site before 7:00 am or after 7:00 pm
25. Number of cast and crew*
27. Describe all scenes to be filmed*
29. Number and type of vehicles/equipment and where will they be located?*
31. Are special effects, aircraft, pyrotechnics, chases/crashes, etc. to be part of the activities under this permit? If so, describe in detail*
33. Insurance Instructions
    The permit also needs a Certificate of Liability naming the "City of Westlake Village; 31200 Oak Crest Drive; Westlake Village, CA 91361," and a separate Additional Insured Endorsement naming the “City of Westlake Village and its officers, officials, employees, agents, and volunteers; 31200 Oak Crest Drive; Westlake Village, CA 91361.”
35. Please upload the Certificate of Insurance here*
    Please load both the Certificate of Liability Insurance in PDF format here.
36. Please upload the Endorsement of Additional Insured here*
    Please load the endorsement of additional insured to go along with the Certificate of Insurance in PDF format
37. Please upload the signed Film Permit Authorization Form here*
    Must be in PDF format. This is available on the film permit page.
38. Please upload the signed hold harmless form here*
    Must be in PDF format. It is available on the film permit page.
40. Authorized Representative Acknowledgement*

    I am the authorized representative of the company applying for this permit. I have read, and the company agrees, to comply with the rules and regulations as provided for in Article VI, Chapter 9, of the Westlake Village Municipal Code, pertaining to the issuance of this permit. We understand that failure to comply will result in the immediate discontinuance of operations and/or revocation of this permit. In the event safety personnel are required, the filming company shall be responsible for their compensation.
41. Required Fire Permit and Fees Acknowledgement*

    As the authorized representative of the company applying for this permit, I acknowledge that the application for a film permit is not complete until the City has been provided a copy of an approved LA County Fire permit for said filming, in addition to the required film permit fees and film permit deposit as described on the Film Permit page.
42. LA County Fire Permit*
    An approved LA County Fire permit is required for all film permits, please upload it here in PDF format.
Leave This Blank:


44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit

* indicates a required field