Request Form for Location Filming Support
Dear [Morioka Film Commission][Date]

I/we consent to the terms of agreement in the Appendix, and request location filming support as
set forth below.
Information regarding Requesting Party
Address

Requesting Party

Name
Representative

Signature
Contact
Information for
Contact Person

Full Name ofContact Person

TEL:
FAX:
Mobile:E-mail Address ofContact Person

Information regarding Work to be Filmed
Name of Work
Type of Work

□Motion Picture TV Program（□Drama□TV Commercial□Promotion Video□Other (Specify:□Variety Program □Travel Program）□Publication)

Key Staff(Director,
Performers, etc.)
Synopsis /Scene Description
Name ofProduction
Company
Release /Broadcast
Schedule
Attached
Materials

Distributor /BroadcastingStationPlanned or Fixed□Proposal□Schedule□Script, Screenplay □List of staff and performers□Storyboard, concept art, etc.
□Other (Specify:(Send to FAX： 019-653-4417)

E-mail： [mfc@odette.or.jp)

Information regarding Filming Location
Location Scouting
Schedule[ ] days during the following period:[Date]～[Date]

Planned or FixedFilming Schedule[ ] days during the following period:[Date]～[Date]Planned or FixedContact
Information for
On-Site Personin Charge

Full Name of OnSite Person inCharge

TEL:
FAX:
Mobile:Planned Key
Location Sites
Cast and Crew

Location Scouting: [No. of Individuals]
Location Filming: [No. of Individuals] (comprised of [ ] Staff, [ ] Actors, and [ ] Others）

Filming Vehicle□[ ] Bus(es) □[ ] Passenger Vehicle(s)□[ ] Other Vehicles□[ ] Truck(s)□[ ] Van(s)Information regarding Type of Support

Desired Support□Selection of filming location, Support for location scouting □Accompanying forlocation scouting and/or location filming□Provision of materials relating to location filming (maps, photographs)□Introduction of filming support facilities □Support for negotiations to film at privateand public facilities□Support for permit procedures relating to filming □Support for arranging
accommodations □Requesting support from local residents□Support for arrangement of local extras, performers, and staff □Support forarrangement of dialect coaching□Support for arrangement of vehicles, equipment and other materials □Catering support□Other (Specify:)

SpecialInstructions
regarding RequestQuestions
Do you permit [Morioka Film Commission] to film on location(limited to cases where performers do not appear)?
Will you provide a copy of the Work to[MoriokaFilmCommission]?

Permit or Do Not Permit
Will Provide or Will Not Provide

Do you consent to including “[Morioka Film Commission]” in thecredits for the Work?

Consent or Do Not Consent

Do you consent to on-location reporting by the local media?

Consent or Do Not Consent

Will you provide posters, signs, and other materials relating to the Work to[Morioka Film Fommission]?

Will Provide or Will Not Provide(Send to FAX： 019-653-4417

E-mail： [mfc@odette.or.jp)

Japan Film Commission Form – Appendix (Terms of Agreement) 1/2

In requesting location filming support from [MoriokaFilm Commission ] (“Organization”), Requesting
Party understands and shall strictly comply with thefollowing terms of agreement:1.

General Obligations of Requesting Party Requesting Party shall strive to clearly specify
the contact person for communications withOrganization.
 Requesting Party shall engage in location
scouting, location filming, and other activities(“Filming”) at its own responsibility.
 Upon the request of Organization, Requesting
Party shall provide cooperation and work that isnecessary for Organization to provide location
filming support. If such necessary cooperation orwork is not provided, there may be cases inwhich Organization will not provide location
filming support.

2.



5.

On-Site Coordination
 Before engaging in Filming, Requesting Party
shall hold discussions with the owners or

Relationship with Third Parties Requesting Party shall, at its own responsibility,
provide transportation, guidance, and schedulemanagement for Participants that are introducedby Organization.
 Upon being introduced to businesses,organizations, and facilities relating to Filming
and other third parties (“Interested Parties”) byOrganization, Requesting Party shall promptly
report to Organization the results of its
negotiation with such Interested Parties.
 Requesting Party understands that the executionof agreements and all other dealings with
Interested Parties introduced by Organization
shall be performed at its own responsibility, andRequesting Party shall strictly comply with suchagreements.

Insurance Requesting Party shall take out casualty
insurance covering losses that may be incurred inconnection with Filming.
 If Requesting Party causes extras, performers,staff, and other individuals participating inFilming who are introduced by Organization(“Participants”) to participate in Filming,Requesting Party shall include losses that may be
incurred by Participants in the coverage of theinsurance.
 Upon the request of Organization, Requesting
Party shall submit to Organization a copy of theinsurance policy or other document certifyingthat Requesting Party has enrolled in appropriate
casualty insurance.

4.

Prevention of Accidents and the Like
 When engaging in Filming, Requesting Party
shall strictly comply with all laws and regulationsand strive to prevent accidents.
 If accidents or other problems occur inconnection with Filming, Requesting Party shalltake appropriate measures, including notifying
the police, fire department, and the like.
 If accidents or other problems occur inconnection with Filming and Organization
determines that Requesting Party will not betaking appropriate measures, Requesting Party
shall immediately cancel Filming in accordancewith Organization’s instructions.
 If accidents or other problems occur inconnection with Filming, Requesting Party shallimmediately report such accidents or otherproblems to Organization.

3.

managers of the land and building that are the siteof such Filming, and if such persons give
instructions, Requesting Party shall strictly
comply with such instructions.
If it is necessary to make noise, use nighttime
lighting, or perform other acts that will cause aninconvenience for the residents of and others in
the area surrounding the site of Filming whenengaging in Filming, Requesting Party shall holdan explanatory meeting in advance, strive to gain
the understanding of such residents and others,and take measures that are reasonably necessaryto minimize the inconvenience to residents andothers.
If a crowd gathers on the site of Filming or it isexpected that such crowd would gather,
Requesting Party shall provide security andtraffic control that are reasonably necessary.
Requesting Party shall strictly comply with theinstructions given by managers of facilities thatwill be used for Filming.
Requesting Party shall maintain and strive not tocause any damage to the facilities to be used inFilming. In addition, if it is necessary to modify,
install fixtures, or otherwise alter the facilities tobe used in Filming, Requesting Party shall obtain
the prior consent of the relevant managers or thelike of such facilities.

6.

Plan Upon the request of Organization, Requesting
Party shall submit to Organization in advance thedetails of the filming, filming schedule, and otherinformation and materials necessary for thelocation filming support.
 Requesting Party shall immediately notify
Organization if there is a change in the details ofthe filming, filming schedule, and other plans thatare submitted to Organization.

7.

Restoration of Original State and the Like
 After the completion of Filming, Requesting
Party shall promptly clean and restore theJapan Film Commission Form – Appendix (Terms of Agreement) 2/2

location, facilities and the like that were used for
Filming to their original state.
 After the completion of Filming, Requesting
Party shall promptly report such completion toOrganization, attaching a photograph of thecurrent state of the location or facilities used forFilming.
8.

Compensation of Damages
 If Requesting Party causes damage to thirdparties including Interested Parties, Requesting
Party shall compensate for such damage inaccordance with the law, and shall properly deal
with such parties at its own expense andresponsibility, and not cause any harm toOrganization.
 If Organization incurs loss due to Requesting
Party, Requesting Party shall compensate
Organization for such loss.

10.

11.

Indemnification
 Since Organization’s cooperation with Filming
by Requesting Party will be free of charge,
Organization shall not be liable for any loss
incurred by Requesting Party or third parties inconnection with Filming.
 Requesting Party shall bear all expenses arisingin connection with Filming. Organization shallnot be liable for expenses in connection withFilming.
 Requesting Party understands and acknowledges
that there is a possibility that permits, consents,
and cooperation necessary for Location Filming
and a satisfactory outcome of the location filming
support may not necessarily be obtained as aresult of the location filming support.
Organization shall not be liable with respect toany unsatisfactory outcome of the location
filming support.
 Even if a request for location filming support isreceived by Organization, depending on thenature of the proposal for Filming, Organization
may not be able to provide location filming
support. Organization shall not be liable for theinability to provide the requested location filming
support.
 If Requesting Party fails to provide cooperation
or work that is necessary for Organization’s
location filming support, or fails to comply with
Organization’s requests, Organization shall not
be liable for the non-provision of location filming
support.
 Organization shall not be liable for agreements
and other dealings between Requesting Party andPublic Relations
 There may be cases in which Organization, uponprior discussion with or notice to Requesting
Party, will use information relating to the Workfor Organization’s public relations introducing
the production scenery, information concerning
the Work, and the official website, creating its
own poster, and by other means.

Provision of Location Filming Support
 Organization shall strive to provide the location
filming support requested by Requesting Party.
 Requesting Party and Organization shall discussin good faith the necessary issues in providing thespecific location filming support.

9.

Interested Parties that are introduced toRequesting Party by Organization.

12.

Requests There may be cases in which Organization makes
the following requests with Requesting Party. IfRequesting Party fails to comply with such
requests, there may be cases in which
Organization will not provide the requested
location filming support.
a.
b.
c.
d.
e.

To permit filming by Organization on thesite of Filming (limited to cases whereperformers do not appear).
To provide a copy of Work to Organization.
To include Organization in the credits forthe Work.
To consent to reporting by the local media
on the site of Filming.
To provide posters, signs, and othermaterials of the Work to Organization.