Permit for Filming

Contact Film Liaison John Mlynar with any questions at: 661/267-5120 or 661/267-5119 or via e-mail.

All fields are required.

NOTE: If incorrect or incomplete information is provided, there is no guarantee that your form will be processed.

City property:

Private Property:

CRA Property:

City right-of-way:

Date:

Company:

Address:

City:

State:

ZIP:

Project Title:

Production Type:

Phone:

Location Manager:

Production Manager:

Location Manager Cell Phone:

E-mail Address:

Confirm E-mail Address:

Date	Time	Location and Activity	*F/C/SFilm/Construct/Strike**

Brief description of project:

Cast	Crew	Extras

Total Personnel:

Total Vehicles/Equip:

Generators	Cars	Trucks	Motorhomes

Pyrotechnics:

Special Effects Permit #:

Pyrotechnician:

License #:

Sheriff's Dept. Approval Is Required

Fire Dept. Film Permit Is Required: FAX County of Los Angeles Fire Dept. Film Permit to 661/267-5292.

Download and print the Fire Department Film Permit form here.

Permitee agrees to indemnify, defend and hold harmless the City of Palmdale, its agents, officers, employees and contractors from and against any and all liability, expense, and claims for damages of any nature, including those arising from the conditions of city facilities, arising from, or in any way related to, the issuance or use of this permit.

Permittee agrees to all terms and conditions of this permit including provisions in the Film Permit Process and Film Permit Rules and Regulations and any attachments.

Company Representative:

City of Palmdale

Official Web Site

Permit for Filming