<p>To: Projects Manager- Filming Productions in the City Tel Aviv-Yafo Municipality Department of the Arts Department of the Arts</p><p>Permit Application to Film in the City of Tel Aviv-Yafo □ New Application □ Revision of an Existing Application</p><p>Date:</p><p>Application No. (for office use only) Applicant's Details (Production Company Manager/Representative) First Name Last Name ID/Company No.</p><p>Phone/Mobile. Fax. Address Email</p><p>Application Details (*a signed Letter of Undertaking, a copy of the applicant's ID card, a copy of the applicant's third party insurance, and detailed screenplay + maps should all be attached to the application) Production Company Name Filming in Public Buildings □ No □ Yes, enter the name of the building:</p><p>Who the filming has been commissioned by: □ Commercial TV channel □ Public TV channel □ Film □ Academia □ Independent Filming Category: □ Commercial □ Video □ "Clip" □ TV Series □ Student Film □ Fashion Shoot Filming Description:</p><p>Filming Schedule Date Times Streets/Sites (list the No. of Crew house numbers) Members ► Filming site/s (itemize in the table) No. of sites: ► Do public thoroughfares need to be closed off? □ No □ Yes, no. of closures: (Itemize in the table, next to the specific address: intermittent/ hermetic street closure/ sidewalk closure) ► Will a connection to water supply lines be needed? □ No □ Yes ► Will a connection to electricity supply lines be needed? □ No □ Yes ► Allocation of parking spaces for trucks and production equipment? No. of trucks / towed trailers: ► Use of various production props, specify: ► Use of special effects (gunfire, explosions, etc.): ► Will it be necessary to make use Cite and itemize what equipment is needed, and when: of municipal gear? ► Other</p><p>First and Last Name ______</p><p>Date ______</p><p>Signature ______</p>