Student Production Notification Form

This form must be used anytime you stage a shoot that involves any of the following activities in any public location.

This form must be submitted at least 72 hours prior to the shoot (by 12:00 p.m. on Fridays). Once the form has been submitted, please call the SPD Substation at 417-836-5327 and the MSU Dispatch at 417-836-5509.

Please don't fill out this input box.

Video Production Information

Please check all activities your shoot will involve:

use of firearms or any kind of weapon

foot chase

sexual activity (implied or graphic)

staged rallies, pickets, marches

vehicle chase or staged accident

aggressive vocalization

fake fights

other

Requestor's email address:

Requestor's phone number:Phone numbers should be available for contact on location.

Date the shoot is scheduled to occur:

Date the shoot is scheduled to end:

Location(s) where the activities will take place:Written permission from Dept. Head, Dean or Building Coordinator for use of campus buildings as production location must be emailed to CampusSafety@MissouriState.edu; JLudwig@SpringfieldMO.gov; TRevell@MissouriState.edu; JSanders@MissouriState.edu.

Time the activity is scheduled to occur:

Time the activity is scheduled to end:

Describe the precise nature of the event(s) or situation(s) of which the police need to be aware:

Rain date:In case the shoot must be postponed due to inclement weather, this date must be within a 48-hour window of the original date.

Note: You must also email the information in this form to your instructor and let them know that University Safety has been informed of your project.