Letter of Intent

Film Office Letter of Intent

Complete the form below if you are interested in pursuing any commercial activities related to photography, film, videotaping or any other electronic media. The Film Office will provide the most up-to-date requirements necessary for the municipality for which you are interested.

The total aggregate insurance amount varies depending on the type of project. More information is found on How to Film in Westchester.

First Name:

Last Name:

Job Title:

Company:

Project Title/Working Title:

Address:

Country:

Zip:

City:

State:

Email:

Phone:

Fax:

Budget:

Potential Economic Impact:

General Information/Purpose:

Type of Shoot:

If other, please specify:

Do you know where you want to shoot

If so, where? But if not, tell us what you are looking for so we may provide suggestions:

Notes/Requirements on Location:

Please list specific areas of the location(s) and provide as many details as possible

Dates/Times:

Crew Size:

Equipment:

Vehicles:

Will you need traffic control? Will filming interfere with other local activities?:

Will you require any hotels, catering services or other accommodations?:

Any questions for us?:

What brought you to Westchester for locations?:

Summary of insurance requirements

You must provide:
1. A valid certificate of insurance, with a minimum limit of $2 million for general liability, naming:
"County of Westchester, 148 Martine Ave., White Plains, NY 10601" as additional insured.
If you fail to use that exact wording/address, your permit may be delayed or denied.
2. Proof of workers compensation insurance on NYS Form C-105.2. New York State statutory limits apply.
Complete requirements are specified in Schedule B of your permit.
Additional insurance may be required depending the nature of the project.

Read & understood.

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