Department of Commerce
        
        Phone: 206-256-6146, Fax: 206-256-6158

 

PRODUCTION SURVEY

Productions Incentivized by WashingtonFilmWorks

 

Contact Information

Date 
Project Name
Name of Permanent Contact (First Last)

Title

Company
Address
City, ST Zip  
Phone
Mobile
Fax
Email

Project Information

Type of Project:

Dates of Project in WA State

Prep (mm/dd/yyyy)-(mm/dd/yyyy)

Shoot (mm/dd/yyyy)-(mm/dd/yyyy)
Wrap (mm/dd/yyyy)-(mm/dd/yyyy)
Post Production (mm/dd/yyyy)-(mm/dd/yyyy)

Total Employees Hired From WA State

Crew
Cast
Extras
Production Assistants
Other (Please specify)

Total Employees Hired From Out-of-State

Crew
Cast
Extras
Production Assistants
Other (Please specify)

Total Number of Washington State Employees on This Production

# Full Time WA State Employees (worked full filming schedule)
# Part Time/Temporary WA State Employees (worked < full filming schedule)

Local Housing

 # of Rooms
Total Cost in $

Cities/Areas/Locations in WA State Where Filming Occurred

Cities/Areas/Locations

Total Number of WA State Employees in the Following Annualized Salary Ranges on This Production

# Less than $30,000
# Greater than $30,000 & Less than $60,000
# Greater than $60,000

Total Number of WA State Employees Typically Covered by Collective Bargaining Agreements That Received Production-Provided Medical and Retirement Benefits in the Following Annualized Salary Ranges, on This Production

# Less than $30,000

# Greater than $30,000  & Less than $60,000
# Greater than $60,000

Budget

Total Project Budget
Total WA State Spending: Payroll
Total WA State Spending: Goods and Services

Funding  Assistance  Requested  
Total WA State Taxes Paid

Any comments on your experience filming in Washington State?

 

Notes:
  • This survey must be completed and turned in to the Department of Commerce by March 31st of the following calendar year in which funding assistance is taken.
  • A wage band with fewer than three individuals may be combined with another wage band.
  • No funding assistance will be given until the production survey is complete.

  Required in Accordance with (RCW 43.265.020 and WAC 130.20.160)

Administered by Department of Commerce

Please print a copy for your records before submitting.

ONCE YOU HIT SUBMIT, YOU CANNOT RETURN TO THE SURVEY.