Esopus, NY · Ulster County

No notary required

Film And Media Application

Film and media production companies use this application to provide the Town of Esopus with details about a planned production and its local impacts.

What this form is

Use this application to describe a film or media production planned in the Town of Esopus, including its schedule, locations, crew, vehicles, equipment, and any requested use of public property or assistance. It also asks for production company and contact details, insurance information, and planned security measures. The form does not state when the town requires an application.

Who needs it

Production companies planning film, photography, video, or other media work in Esopus can use this application to share production details with the town.

How to submit it

Mail the completed application to the Town of Esopus Town Clerk, 284 Broadway, Ulster Park, NY 12487, or email it to [email protected].

About notarization

No notary is required for this application; it requests an insurance certificate, but does not say that the certificate must be notarized.

How to submit this form

  1. 1

    Download The Application

    Download the Film and Media Application PDF.

  2. 2

    Complete Production Details

    Fill in the company and contact information, production schedule, locations, insurance details, and requested production information.

  3. 3

    Gather The Insurance Certificate

    Attach or upload the insurance certificate, as directed on the form.

  4. 4

    Submit To The Town Clerk

    Mail the completed application to the Town Clerk at 284 Broadway, Ulster Park, NY 12487, or email it to [email protected].

Frequently asked questions

What is the Esopus Film and Media Application for?
It collects details about a planned production, including dates, locations, insurance, public property requests, crew, vehicles, equipment, and public assistance.
How do I submit the Film and Media Application?
Mail it to the Town of Esopus Town Clerk, 284 Broadway, Ulster Park, NY 12487, or email it to [email protected].
Do I need a notary for the Film and Media Application?
No. The application does not require notarization. It requests an insurance certificate but does not say that the certificate must be notarized.
What insurance information does the application ask for?
It asks for the insurance carrier, policy number, insurance agent name and phone number, and expiration date. It also says to attach or upload the certificate.

Need something notarized?

This Film And Media Application doesn’t need a notary — but if you have another Esopus form that does, a commissioned online notary can help.