2. UP TO FIVE (5) WORKING DAY LEAD PROCESS TIME IS REQUIRED
4. Applicant Name*
5. Cell:
7. Film Company's Name:
9. Telephone*
10. Fax
12. Address*
14. Film Manager
15. Cell
17. Director*
18. Cell*
20. Film/Production Type*

    1. Commercial
    2. Motion Picture
    3. Non-Profit
    4. Television
    5. Still Photography
    6. Student
    7. Other
22. Filming Date & Time*
24. Specific Location
26. Equipment/Personnel

    1. Automobiles
    2. Catering Trucks
    3. Animals
    4. Chemicals/Explosives
    5. Fire
    6. Trucks
    7. Special Effects
    8. Generator
    9. Lighting
    10. Street Closure
    11. Emergency Services
    12. Traffic Control
    13. Other
28. Certificate of Liability must be filed with the Municipal Clerk. The Town of Newton must be named as an additional insured, including completed operations, on all policies (General, Automobile, Umbrella and Workers Compensation Liability) for work performed by the named insured. Coverage to be primary and non contributory, and waiver of subrogation applies.
30. Insurance Information
32. Short Plot Synopsis
34. Special Effects or Stunt Scenes
36. Fees
38. Application Fee

    1. $85.00 Commercial Film
    2. No Fee Not-for-profit Film
    3. $35.00 Other Film
40. Daily Fee

    1. $210.00 Commercial Film
    2. No Fee Not-for-profit Film
    3. $35.00 Other Film
42. Once above information is completed please press "Submit".
    Please call 973-383-3521 ext. 224 to follow-up with the Town Manager, Thomas S. Russo, Jr.
44. Municipal Clerk's Signature
    (Office Use Only)
46. Town Manager's Signature
    (Office Use Only)
Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field