the creative breakdown.
Legal · Location
location release.
Date
Project title
Production company
Location details
Property name / description
Full address
Property owner / authorized representative
Owner phone / email
Shoot details
Shoot date(s)
Access time
Approximate crew size
Specific areas to be filmed
Equipment / vehicles on site
Grant of rights

The undersigned owner or authorized representative of the above property grants The Creative Breakdown LLC and its clients, licensees, and assigns the right to enter, film, photograph, and record the property in connection with the above-referenced production. Owner grants the right to use such footage and images in any and all media, worldwide, in perpetuity. Owner releases all parties from any liability or claims arising from use of the property's image, name, or appearance in the production.

Compensation / location fee
Usage territory
Special conditions or restrictions
Property owner / authorized representative
Printed name & title
Date
Producer / authorized representative
Printed name
Date