Public Liability Insurance Public Liability Please enclose a copy of your Public Liability Insurance Certificate of Currency. The sum Insurance insured is to be a minimum of $20 million and must note the interests of Seqwater. Please note: Applications are unable to be processed until the Public Liability Insurance Certificate of Currency has been received. Signature of Applicant Application must be signed I/We certify that the above information and the information on any attachments, to the best of my knowledge, is true and correct. Signature: Position:_____________________________Date: Attachments Information required to be submitted with this Public Liability Insurance Certificate of Currency application Site Plan Special Requirements Information (as applicable) Risk Management Plan Traffic Management Plan (if required) Fees Fees To ensure prompt The following fees for applicants : processing, please enclose the application fee with the application. Credit Card Payment: Please call Wivenhoe Information Centre on (07) 5427 8100 to enquire about credit card payment facility for the Application Fee. If the Application is approved, a Tax Invoice will be issued by Seqwater for any Permit Fees. Information on Seqwater reserves the right to refuse any application where it considers the content of the Approval of permits proposed production to be unacceptable or could cause harm to the organisation’s reputation. All costs associated with preparing and submitting an application are the responsibility of the applicant. Seqwater will not compensate applicants for any out-of-pocket expenses should an application not be approved. Seqwater requires the personal information requested on this form for the purpose of Privacy assessing your application and administering permits and approvals. The information will not be disclosed to any other party unless required by law.
Public Liability Insurance Public Liability Insurance Please enclose a copy of your Public Liability Insurance Certificate of Currency. The sum insured is to be a minimum of $20 million and must note the interests of Seqwater. Please note: Applications are unable to be processed until the Public Liability Insurance Certificate of Currency has been received. Application must be signed Signature of Applicant I/We certify that the above information and the information on any attachments, to the best of my knowledge, is true and correct. Signature: Position:_____________________________Date: Information required to be submitted with this application Attachments Public Liability Insurance Certificate of Currency Site Plan Special Requirements Information (as applicable) Risk Management Plan Traffic Management Plan (if required) Fees To ensure prompt processing, please enclose the application fee with the application. Fees The following fees for applicants : Credit Card Payment: Please call Wivenhoe Information Centre on (07) 5427 8100 to enquire about credit card payment facility for the Application Fee. If the Application is approved, a Tax Invoice will be issued by Seqwater for any Permit Fees. Information on Approval of permits Seqwater reserves the right to refuse any application where it considers the content of the proposed production to be unacceptable or could cause harm to the organisation’s reputation. All costs associated with preparing and submitting an application are the responsibility of the applicant. Seqwater will not compensate applicants for any out-of-pocket expenses should an application not be approved. Privacy Seqwater requires the personal information requested on this form for the purpose of assessing your application and administering permits and approvals. The information will not be disclosed to any other party unless required by law.
Film%20Production%20Application%20Form.docx