Film festival community screening exemption form - Department of ...

Department of Justice and Attorney-General
Application to be an Approved Organisation
JAG 10/3833
Section 1 November 2010
Complete this form and return it by fax, post or email to the Classification Officer.
Please print clearly and do not use correction fluid.
1. Organisation details (all fields required)
Name of organisation
Address
Telephone number Fax number
Email
2. Application details
Type of activity undertaken
by the organisation
(E.g. medical, scientific,
educational, cultural or
artistic.)
Purpose for which the
organisation was formed
Reputation of the
organisation
Name of Film Festival to
be staged
3. Return your form
Return your completed form via:
Post: The Classification Officer
Department of Justice and Attorney-General
Level 17, state Law Building
50 Ann Street
Brisbane Qld 4000
Phone: (07) 3404 1456
Fax: (07) 3239 3046
Email: classification@justice.qld.gov.au
Dispute Resolution Branch
Postcode
Note that until you have provided all the information required, your application may not be processed.
I certify that all the information contained in this application is correct and is not flase or misleading.
Print name Signature
Page 1 of 1

Department of Justice and Attorney-General
Application by an Approved Orgnisation for an exemption
JAG 10/3833
Section 2 November 2010
Complete this form and return it by fax, post or email to the Classification Officer.
Please print clearly and do not use correction fluid.
1. Approved Organisation details (all fields required)
Name of orgnisation
Address
Telephone number Fax number
Email
2. Application details
Type of activity undertaken
by the organisation
(E.g. medical, scientific,
educational, cultural or
artistic.)
Purpose for which the
organisation was formed
Name of film festival/event
Date of film festival/event
Venue of film festival/event
Conditions of admission to
film festival/event
3. Film and screening details
Please attach a comprehensive list of films that require an exemption to be screened.
The list must include the following details for each film:
a) film title
b) producer
c) director
d) production company
e) language
f) country of Origin
g) subtitles
h) year of production
i) running time
j) screening times
Dispute Resolution Branch
Postcode
Page 1 of 2

Section 2 continued
4. Film synopsis
Dispute Resolution Branch
Provide an adequate synopsis of each of the films to be screened at the festival/event. For an explanation as to what is
considered an adequate synopsis, refer to:
www.oflc.gov.au/www/cob/classification.nsf/Page/IndustryFestivals_and_Community_Screenings
Identify themes such as sex, violence, drug references, nudity and course language.
Be aware that in accordance with the 2007 Film Festival Guidelines, exemptions are generally granted under the condition that
each film is to be screened a maximum of four times during the course of a film festival/event.
3. Return your form
Return your completed form via:
Post: The Classification Officer
Department of Justice and Attorney-General
Level 17, state Law Building
50 Ann Street
Brisbane Qld 4000
Phone: (07) 3404 1456
Fax: (07) 3239 3046
Email: classification@justice.qld.gov.au
Note that until you have provided all the information required, your application may not be processed.
I certify that all the information contained in this application is correct and is not flase or misleading.
Print name Signature
Page 2 of 2