Film Liaisons In California Statewide

14th Annual California On Location Awards

Public Employee Nomination Form

SUBMISSION DEADLINE:
5:00pm on Monday, July 14, 2008

**Please fill out entire form!**
(incomplete forms will be rejected)

Nomination submitted by:
Phone number:
E-mail address:
Worked with FLICS City/County:

For production from June 1, 2007 to June 30, 2008. Use this form to nominate public employees who consistently provide service above and beyond the norm to production companies working in your communities. These employees exemplify the term "film friendly" while protecting the best interests of the communities they serve. Film Commission employees are not eligible.

Please check the appropriate category for each nomination and submit with only one nomination per form. Keep reasons for nominations to 250 words. Forms without complete contact information will be disregarded.

PUBLIC AGENCY:
(select one only)
City--- County--- State--- Federal
Nominee's name:
Address:
Phone:
Nominee's Employer:
Reason For Nomination:
(250 words or less)