Richmond, CA · Contra Costa County

No notary required

Neighborhood Survey for Film Permit

This survey records neighbors’ or businesses’ awareness and support of planned filming and includes space for neighborhood council information.

What this form is

Use this survey for planned filming in a Richmond neighborhood. It records the filming date and hours, the number of affected residents or businesses, and neighborhood council information. Neighbors or businesses can provide their names, addresses, phone numbers, and signatures to indicate they have been informed of the event and support the filming.

Who needs it

People planning to film in the area use this survey to record neighbor or business support and neighborhood council information.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; the survey asks signers to provide their signatures and dates.

How to submit this form

  1. 1

    Download the Survey

    Download the Neighborhood Survey for Film Permit PDF.

  2. 2

    Complete the Event Details

    Enter the planned filming date and hours, the number of affected residents or businesses, and neighborhood council information.

  3. 3

    Gather Signatures

    Ask neighbors or businesses to provide their signatures, addresses, and phone numbers.

  4. 4

    Submit the Survey

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the Neighborhood Survey for Film Permit?
It records neighbors’ or businesses’ awareness and support of planned filming, along with filming dates and hours, affected residents or businesses, and neighborhood council information.
Who fills out the survey?
People planning to film provide the event details. Neighbors or businesses can add their signatures, addresses, and phone numbers to indicate they have been informed and support the filming.
Do I need a notary for the Neighborhood Survey for Film Permit?
No. The document is signed without a notary; it asks signers to provide their signatures and dates.
How do I submit the Neighborhood Survey for Film Permit?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Neighborhood Survey for Film Permit doesn’t need a notary — but if you have another Richmond form that does, a commissioned online notary can help.