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STUNT QUESTIONNAIRE
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POLICY HOLDER INFORMATION (if applicable)
Insured name:
*
Your answer
Policy number:
Your answer
PRODUCTION DETAILS
Production Title:
*
Your answer
Production Type:
*
Your answer
If Music Video, please indicate artist’s name:
Your answer
Music genre:
Your answer
Total Production Budget:
*
Your answer
Start Production Date:
*
MM
/
DD
/
YYYY
End Production Date:
*
MM
/
DD
/
YYYY
Total number of days:
Your answer
Filming location:
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Please provide a detailed synopsis of the shoot:
*
Your answer
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