NON PREP DISCLAIMER
TO PRODUCTION OFFICE: Please print this form, sign at bottom,
and return signed copy by FAX, E-mail or printed hard copy to verify
that you have read, understand and agree to the below conditions.
Date:
Prod. Title:	Prod. #:
Prod. Company:
Address:
City:	State:	Zip:
Phone:	Fax:
Email:
Start Date:	End Date:
Name:
Address:
City:	State:	Zip:
Phone:	Fax:
Cell Phone:	Email:
Position:	1st AC	2nd AC	DIT
It is my strong recommendation that I or somebody that I recommend have the
opportunity to perform a complete prep of the camera rental equipment at the rental
house. If a complete and adequate prep is not carried out, I will not assume any
responsibility for failure of equipment to operate and perform correctly. If equipment is
ordered by the production company without a prep being performed, and does not
arrive on set in working order, or if batteries are not adequately charged for camera
operation, and pieces of equipment are missing or lack compatibility I will not be held
responsible.
Employee Printed Name
Position
Employee Signature
Date
Approved and Accepted:
Prod. Co. Rep. Printed Name
Signature
Date
NPD	© DEE

PERSONAL TIME SHEET

David E. Elkins

2012-12-28

Toshiba