Canadian Radio-television and Telecommunications Commission | Conseil de la radiodiffusion et des télécommunications canadiennes
 

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Canadian Program Certification

Application form for
Live Action and
Continuous Action Animated Productions
 

GENERAL INSTRUCTIONS

 
This application form is to be used for Canadian program certification of Live Action and Continuous Action Animated productions, including both domestic and international co-ventures/co-productions.
 

For certification of animated productions; live and live-to-tape sports events and competitions; dubbings of foreign productions; production packages; and twinnings, use the applicable application form which is available electronically on the Commission's web site at: www.crtc.gc.ca; Canadian Content; Canadian Program Certification; Application Forms.
 
1.
 		 FILING
 

 		 •
 		 By electronic form

 		 •
 		 By fax: Canadian Program Certification, (819) 994-0218; or
 
 
 		 •
 		 By mail: Canadian Program Certification, CRTC, Ottawa, Ontario, K1A 0N2; or
 

 		 •
 		 By hand delivery: Canadian Program Certification CRTC, Les Terrasses de la Chaudière, 1 Promenade du Portage, Gatineau, Québec, J8X 4B1.
 
2.
 		 INSTRUCTIONS
 
 
 		 •
 		 The following questionnaire is in HTML format and may be downloaded to the word processing software of your choice. This enables you to complete the downloaded questionnaire by inserting your response in bold letters immediately following the question. You may add lines to the tables if necessary but do not alter or delete any text from the questionnaire.
 
 
 		 •
 		 The Guide to the Canadian Program Certification Application Process provides important information on completing and filing this application form. The "Guide" is available on the Commission's web site.
 
 
 		 •
 		 This application form is in HTML format and may be downloaded to the word processing software of your choice. This enables you to complete the downloaded form by inserting your response immediately following the question. The tables in the form allow for the addition of more rows, as necessary.
 
 
 		 •
 		 All sections of this application must be completed and all applicable supporting documents and schedules identified in the checklist of Supporting Documents on line item 14.0 must be attached. If a section does not apply, insert N/A (not applicable) in the space provided. The application form and all agreements must be signed and dated.
 
 
 		 •
 		 The individual line item numbers in this form correspond to those in the shaded boxes in section 10, Completing the Application Form, in the Guide. Only those line items requiring additional explanation have entries in the Guide.
 
3.
 		 PROCESS
 

 		 •
 		 Applications will only be accepted for consideration when each of the following criteria have been met:

 
 		 a) 
 		 the principal photography has started*;
 

 
 		 b)
 		 all key creative personnel are under signed contract; and

 
 		 c) 
 		 the committed budgets are in place.
 
    Applications not meeting all 3 of these criteria will be returned.
 
    * "Live" broadcasts need only meet criteria b) and c).
 
 

For Commission's use

File Number


MAD Number

 

Canadian Radio-television and Telecommunications Commission

Canadian Program Certification

Application form for
Live Action and
Continuous Action Animated Productions

1.0  PRODUCTION INFORMATION
(see Guide, section 10, line item 1.0)
 
1.1 Final Title of Program: Language:
 
  Version to be broadcast in Canada. If the production is a series and the episodes have different titles, attach a list of the titles of each episode, as Schedule 11.
 
1.2 Title of other version: Language:
 
  Title of other version: Language:
 
  Version(s) to be broadcast in Canada. If the production is a series and the episodes have different titles, attach a list of the titles of each episodes as Schedule 11 - indicate N/A, if not applicable.
 
1.3 Running length of program in minutes, excluding commercial time:
(if a series, indicate N/A and proceed to line 1.4)
 
1.4 Is the production a "series"?
 
    YES ( ) NO ( )
 
  If Yes, indicate the:
 
  a) Cycle:
 
  b) No. of episodes:
 
  c) Episode Nos: From:                 To:
 
  d) Running length of each episode in minutes, excluding commercial time:
 
1.5 Principle photography (yy/mm/dd):
 
    From: To:
 
  (start & end. If a series, the start of principle photography of the 1st episode to the end of the principle photography of the last episode)
 
  Overall production dates (yy/mm/dd):
 
    From: To:
 
  (start of principle photography to end of post-production. If a series, start of principle photography of 1st episode to end of post-production of last episode)
 
1.6 WHERE FILMED
 
  Studio
 
  In Canada: ________________________________
 		 (____%)
  Outside Canada: ___________________________
 		 (____%)
  On Location
 
  In Canada: ________________________________
 		 (____%)
  Outside Canada: ___________________________
 		 (____%)
  (% refers to shooting time)
 
  (Identify where in Canada. if abroad, identify country(ies) involved)
 
1.7 Name(s) of your Canadian broadcaster(s): Broadcast date(s):
 
1.8 Broadcaster's letter of commitment attached as Schedule 7? (see Guide, section 10, line item 1.8)
 
    YES ( ) NO ( )
 
 

2.0 GENERAL INFORMATION

 
2.1
 		 Application is for:
 
(  )  "C" number for a Canadian domestic production (see Guide, section 10, line item 2.1)
 

 		 (  )  "SR" number for an international co-venture/co-production*
 
* If the application is for a co-venture/co-production, complete and attach Schedule 1 which is available on the Commission's web site. Also attach a signed copy of the co-venture/co-production agreement as Schedule 8.
 
2.2
 		 a)
 		 Is the principle photography finished or has it been started?
 

 
 
 		 YES (  )
 		 NO (  )
 

 		 b)
 		 Are all key creative personnel under signed contract?
 

 
 
 		 YES (  )
 		 NO (  )
 
c)
 		 Are all committed budgets in place?
 

 
 
 		 YES (  )
 		 NO (  )
 
2.3 IDENTIFICATION OF THE APPLICANT (see Guide, section 10, line item 2.3)
 
  Producer (  )          Broadcaster (  )          Distributor (  )
 
  NAME:
ADDRESS:
TELEPHONE:
FAX:
E-MAIL:
 
  Note: An applicant may be the producer, the broadcast licensee or the distributor. Unless otherwise requested, the certification letter will be sent to the attention of the person identified on line 13.0, Declaration of the Applicant, at the address specified above.
 
2.4
 		 PERSON TO CONTACT REGARDING QUESTIONS ON THE APPLICATION
 

 		 NAME:
ADDRESS:
TELEPHONE:
FAX:
E-MAIL:
 
 

3.0  CORPORATE INFORMATION


 
3.1
 		 PRODUCTION COMPANY (see Guide, section 10, line item 3.1)
 

 		 NAME:
ADDRESS:
TELEPHONE:
FAX:
E-MAIL:
PLACE OF INCORPORATION:
DATE OF INCORPORATION:
 
3.2
 		 a)
 		 Is the production company a CRTC licensee?

 
 
 		 YES (  )
 		 NO (  )
 

 		 b)
 		 Is the principal business of the production company the production of film, videotape or live programs?

 
 
 		 YES (  )
 		 NO (  )
 
    If "no", please explain.
3.3
 		 a)
 		 Is the production company owned and controlled by Canadians?

 
 
 		 YES (  )
 		 NO (  )
 

 		 b)
 		 Explain how ownership and control is exercised:
3.4 Officers of the Production Company (attach a separate sheet as Schedule 9 for the parent company).
 
Name Position Held Citizenship or
Date of Permanent Residency
 
     

3.5
 
PARENT PRODUCTION COMPANY (where non-applicable indicate N/A) - (see Guide, section 10, line item 3.5)
 

 		 NAME:
ADDRESS:
TELEPHONE:
FAX:
E-MAIL:
PLACE OF INCORPORATION:
DATE OF INCORPORATION:
 
 

4.0  FINANCING INFORMATION
 

 
Enter each individual source of financing proposed. The total on line 4.1 must be sufficient to cover the total cost of the production on line 9.1. The coverage of any short-fall must be fully explained. Attach as Schedule 10 the financing from the foreign producer for co-ventures and co-productions. (see Guide, section 10, line item 4.0)
 
Source of financing Type Canadian Non-
Canadian
 		 Amount (Can$) % of
Total
           

4.1
 		 Total financing available $ 100%
 
 

5.0  RIGHTS HOLDERS
 

 
5.1
 		 Who owns the resulting production upon completion?
 
NAME:
ADDRESS:
TELEPHONE:
FAX:
E-MAIL:
 
Canadian:  
 
(  ) Canadian citizen          (  ) Permanent resident          (  ) Canadian controlled corporation
 
or Non-Canadian, specify:
 
5.2
 		 Who owns the following rights? (see Guide, section 10, line item 5.2)
 

 		 a)
 		 Broadcasting Rights:
 
Canadian:
 

 
 
 		 Canadian (  )
 		 Non-Canadian (  )
 
Non-Canadian:
 

 
 
 		 Canadian (  )
 		 Non-Canadian (  ) 
 

 		 b)
 		 Distribution Rights:
 
Canadian:
 

 
 
 		 Canadian (  )
 		 Non-Canadian (  )
Non-Canadian:
 

 
 
 		 Canadian (  )
 		 Non-Canadian (  )
 

6.0  PROGRAM CATEGORY & SYNOPSIS
 

 
See Guide, section 10, line items 6.1 and 6.2 as well as Public Notice 1999-205 on the Commission's web site for category definitions. Choose the most appropriate category. Official category designation will be confirmed based on the synopsis below. DVD/Tape may be required.
6.1 PROGRAM CATEGORY
 
  Information / Education
 
  1) News (newscasts, newsbreaks, headlines)
 		 (  )
  2a) Analysis & Interpretation (incl. consumer affairs, talk or panel shows, short docs, etc.)
 		 (  )
  2b) Long-form documentary (in depth critical analysis - 30 min. or more)
 		 (  )
  3) Reporting & Actualities (political conventions, conferences, non-entertainment fund-raising, etc.)
 		 (  )
  4) Religion (incl. discussions of human spiritual condition)
 		 (  )
  5a) Formal education (established curricula) & Pre-school (age 2-5)
 		 (  )
  5b) Informal education/Recreation & Leisure (incl. lifestyle, outdoor, recreational sports, how-to-talk shows, etc.)
 		 (  )
  6a) Professional Sports (incl. analysis & review)
 		 (  )
  6b) Amateur Sports (incl. analysis & review)
 		 (  )
  Music and Entertainent
 
  7a) Drama - on-going drama series
 		 (  )
  7b) Drama - on-going comedy series (sitcoms)
 		 (  )
  7c) Drama - specials, mini-series, TV movies
 		 (  )
  7d) Drama - theatrical feature films aired on television
 		 (  )
  7e) Drama - animation
 		 (  )
  7f) Drama - programs of comedy sketches (stand-up)
 		 (  )
  7g) Drama - other (readings, improvs., cont. action anim., etc.)
 		 (  )
  8a) Music & Dance
 		 (  )
  8b) Music Video Clips
 		 (  )
  8c) Music Video Programs (+ than 50% music video clips)
 		 (  )
  9) Variety (mix of acts - comedy, music, magic, dance, etc.)
 		 (  )
  10) Game shows (skill & chance)
 		 (  )
  11) General entertainment & human interest (world of entertainment & its people, reality TV, talk, interview & awards shows)
 		 (  )
  12) Interstitials (cat. 2-11 programming of less than 5 min.)
 		 (  )
  13) Public service announcements (less than 5 min.)
 		 (  )
  14) Infomercials, promo. & corporate videos (more than 12 min.)
 		 (  )
  15) Filler programming (programming of 30 min. or less)
 		 (  )
6.2 SYNOPSIS
 
Describe the theme, subject matter and setting of the program/series in sufficient detail below to clearly support the category you have chosen in 6.1.
 
6.3 a) Name of work on which the production screenplay is based:
 
b) Name of Author:
 

 
 
 		 Canadian (  )
 		 Non-Canadian (  ) 
 
c) Has the work been published in Canada?
 

 
 
 		 YES (  )
 		 NO (  ) 
 
6.4 Is the program a mixture of animation and live action?
 
YES (  ) NO (  ) 
 
If Yes, indicate the percentage of animation and live action. (see Guide, section 8(i), to ensure completion of the appropriate form).
 
Animation:          %          Live Action:          %         
 
6.5 Is this production a music video program? (see "Music video program" in section 9, Definitions and Requirements, of the Guide)(complete and attach a separate Schedule 2 for each video clip)
 
YES (  ) NO (  ) 
 
6.6 Does the program contain music video clips?
 
YES (  ) NO (  ) 
 
a) If Yes, what percentage of the program's running time* is devoted to music video clips?          %
*If a series, what percentage of the running time of each episode is devoted to music video clips
 
b) If the percentage in a) is greater than 50%, what percentage of the total number of video clips** are Canadian?          %
**If a series, what percentage of the total number of video clips in each episode is Canadian
 
Complete and attach a separate Schedule 2 for each video clip.
 
 

7.0  PRODUCER PERSONNEL AND CONTROL


 
List both Canadians and non-Canadians. Where the production is a series and the persons occupying the positions on lines 7.1 to 7.6; 8.1 to 8.6; or 8.12 and 8.13 below, are not the same throughout the series, list the personnel episode-by-episode on a separate sheet and attach it as Schedule 12. (see also section 10, line item 7.1 in the Guide)
 
    Name Citizenship*

 		 Date of
Permanent Residency
(yy/mm/dd)		 Remuneration
 
7.1 Producer(s):
 		        
7.2 Co-producer(s):
 		        
7.3 Executive Producer(s):
 		        
7.4 Line Producer(s):
 		        
7.5 Associate Producer(s):
 		        
7.6 All other Person(s) fulfilling other producer-related functions:
 		        
 
*A Declaration of Citizenship is to be submitted as Schedule 4 for each person filling a producer-related position or key creative function when the production is eligible for the 150% drama credit (see "Dramatic program credit" and "Key creative positions" in section 9, Definitions and Requirements, of the Guide)
 
7.7
 		 REQUEST FOR NON-CANADIAN COURTESY CREDITS (see "Foreign credits" in section 9, of the Guide)
 

 		 Complete and attach a separate Affidavit, as Schedule 3, for each non-Canadian courtesy credit requested.
Name of Person(s) Company Citizenship  Remuneration Screen Credit
Requested
 
         

7.8
 
CONTROL OF THE PRODUCTION (see "Producer control" in section 9, Definitions and Requirements, of the Guide)
7.9 Who has the final approval over hiring key creative personnel?
 
a) Name of Individual or Company:
 
b) Canadian / Non-Canadian at production start:
 
Canadian (  )
 		 Non-Canadian (  )
 
7.10 Who has final approval over the budget?
 
a) Name of Individual or Company:
 
b) Canadian / Non-Canadian at production start:
 
Canadian (  )
 		 Non-Canadian (  )
 
7.11 Who controls the distribution of the production?
 
a) Name of Individual or Company:
 
b) Canadian / Non-Canadian at production start:
 
Canadian (  )
 		 Non-Canadian (  )
 
 

8.0  KEY AND NON-KEY CREATIVE PRODUCTION PERSONNEL
 
For a Series, see instruction in section 7.0 above - (see also section 10, line item 8.0, in the Guide). Enter gross remuneration paid to all other Canadian and/or Foreign staff on line 8.10.
 
    Name Citizenship*

 		 Date of
Permanent Residency
(yy/mm/dd)
 		 Remuneration
 
8.1 Director:
 		        
8.2 Screenwriter:
 		        
8.3 Production Designer:        
8.4 DOP/Chief Camera Operator:
 		        
8.5 Music Composer:
 		        
8.6 Picture Editor:        
8.7 Researcher:
 		        
8.8 Chief Technician:
 		        
8.9 Chief Sound:
 		        
8.10 All other production staff:
 		  
  a) Canadian:
 		        
  b) Foreign:
 		        

8.11
 
LEAD PERFORMERS

 		 List the top 5 credited on-screen/off-screen performers in order of importance. Indicate role (actor, singer, host, narrator, etc.) (if a series, see instruction on line 7.0 above) (also see "Lead performers" in section 9, Definitions and Requirements, of the Guide)
 
    Name Role
 		 Citizenship*
 		 Date of
Permanent
Residency
(yy/mm/dd)
 		 Remuneration
 

 Screen Time**
 
8.12 1st Lead/Voice:
 		            
8.13 2nd Lead/Voice:
 		            
8.14 3rd Lead/Voice:
 		            
8.15 4th Lead/Voice:
 		            
8.16 5th Lead/Voice:
 		            

 
** where 2 or more of the leads are non-Canadian, provide the on-screen time of each.
 
8.17
 

ALL OTHER ON-SCREEN PERFORMERS
Indicate the number of individuals in each of the following categories.
 

Musicians
 

 Chorus
 		 Dancers
 

Extras
 
       
 
Percentage of canadian performers:      %
 
Percentage of non-canadian performers:      %
     
8.18
 

GUESTS
    a) YES (  ) NO (  )
 
    If Yes, complete (b) and (c) below.
 
    b) Type of Guest participation:
 
      Interview (  )          Panel (  )          Contestant (  )          Other (  ) specify:
 
    c) Number of guests per episode:
 
      i) Canadians: Cost:         (Can$)
 
      ii) non-Canadians: Cost:         (Can$)
 
8.19

AUDIENCE PARTICIPATION IN THE PROGRAM
 
    YES (  ) NO (  )
 
  If Yes, provide details in the synopsis.
 
 

9.0  PRODUCTION COSTS
(see Guide, section 10, line item 9.0)
 
    Amount (Can$)
 
9.1 Total cost of the production, including deferrals.
 		  
9.2 Total amount spent on Canadian services.
 		  
9.3 Total amount spent on non-Canadian services*.
 		  
9.4 Total amount spent on Canadian post-production and laboratory work.
 		  
9.5 Total amount spent on non-Canadian post-production and laboratory work*.
 		  
9.6 Series: average cost per episode.
 		  
9.7 Canadian portion of production cost/budget**. (for a co-venture/co-production with a foreign country)
 		  
9.8 Foreign portion of production cost/budget**. (for a co-venture/co-production with a foreign country)
 		  

* Completion of the Live Action and Continuous Action Animated productions Breakdown of Costs (BOC) form which is available on the Commission's web site is mandatory when non-Canadian expenditures are incurred for either services or post-production and laboratory work. Attach as Schedule 6.
 
** For both co-ventures and co-productions, the BOC must include both the foreign and Canadian portions of the budget and must equal the total cost of production indicated on line 9.1.
 
 

10.0  POST-PRODUCTION AND LABORATORY

 
10.1 IDENTIFICATION OF INDIVIDUALS(S) OR COMPANY(S) DOING THE POST-PRODUCTION
 
  NAME:
ADDRESS:
TELEPHONE:
FAX:
E-MAIL:
 
10.2 Use of post-production facilities outside Canada?
 
    YES (  ) NO (  )
 
   If Yes, specify the country(ies) and the percentage of the work that was done in each:
 

Country(ies)

Percentage (%)
   
   
   

10.3
Does the program use existing or pre-recorded music/sounds? (see Guide, section 10, line item 10.3)
 
    YES (  ) NO (  )
 
  If Yes:
 
  a) From Canadian source: 
 
    i) Duration:         (min.) 
(total # of mins. for the entire production or series)
 
    ii) Cost:         (Can$)
 
  b) From non-Canadian source
 
    i) Duration:         (min.) 
(total # of mins. for the entire production or series)
 
    ii) Cost:         (Can$)
 
    iii) Nationality:
 
10.4 Does the program use existing (non-original) footage? (e.g. archival/library/stock/B-roll) (see Guide, section 10, line item 10.4)
 
    YES (  ) NO (  )
 
  If Yes:
 
  a) Canadian-produced:
    i) Duration:         (min./sec.) 
(total # of mins. for the entire production or series)
 
    ii) Cost:         (Can$)
 
  b) Non-Canadian produced:
 
    i) Duration:         (min.) 
(total # of mins. for the entire production or series)
 
    ii) Cost:         (Can$)
 
    iii) Nationality:
 
10.5 Does the program contain excerpts from an original foreign production? (see Guide, section 10, line item 10.5)
 
    YES (  ) NO (  )
 
  If Yes, title of original production:
 
  Indicate:
 
  a) Country(ies):
 
  b) Cost:         (Can$)
 
  c) Total duration:         (min.) 
(total # of mins. for the entire production or series)
 
 

11.0  SCREEN CREDITS
 

 
Attach as Schedule 13, the final screen credits of all cast, crew and corporate screen credits (both main and end titles), including all banners, logos, etc. Where non-Canadians are involved in the production, indicate the citizenship of those individuals or country of incorporation for company(ies) on each card. If the production is a series and the screen credits are not the same for all episodes, attach a list of the credits for each episode.
 
 

12.0  ADVERTISING DECLARATION
 

 
Complete and attach the advertising declaration, Schedule 5, which is available on the Commission's web site. (see Guide, section 10, line item 12.0)
 
 

13.0  DECLARATION OF APPLICANT


 
I certify that the information given herein is true and accurate to the best of my knowledge and belief, and I understand that the Commission retains the right to require additional information to be filed in order to verify or substantiate any of the information filed in the application. I further understand that, subject to the provisions of the "Access to Information Act," the financial information filed in the application is filed on a confidential basis but that it may be aggregated with other data and made available to the public in aggregate form for statistical analysis and research.

I also understand that should the final production be different from what is set out in the application, the certification may be revoked.
 
AND I HAVE SIGNED

Signature:
 (must be signed by the producer or an authorized officer of the production company)

Name (Printed):

Title: 

Date:
 

14.0 SUPPORTING DOCUMENT

 

 

APPENDED
(YES or NO)

Schedule 1

 Co-venture/co-production with a foreign country (line 2.1)  
Schedule 2 Music Video Clips (lines 6.5 and 6.6)  
Schedule 3 Affidavit - Exemption for Non-Canadian Courtesy Credit (line 7.7)  
Schedule 4 Declaration of Citizenship (line 7.6)  
Schedule 5 Advertising Declaration (line 12.0)  
Schedule 6 BOC form - Live Action & Continuous Action Animated productions (lines 9.3, 9.5, 9.7 and 9.8)  
Schedule 7 Broadcaster's Letter of Commitment (line 1.8)  
Schedule 8 Signed copy of the co-venture/co-production agreement (line 2.1)  
Schedule 9 Officers of the Parent Company (line 3.4)  
Schedule 10 Co-ventures and co-productions - financing from the foreign producer(s) (line 4.0)  
Schedule 11 Series: Individual episode titles (lines 1.1 and 1.2)  
Schedule 12 Series: Producer (line 7.0); Key Creative (line 8.0); and Lead Performer(s) (line 8.11)  
Schedule 13 Screen credits (line 11.0)  

Note:
 		  
  a) Schedules 1 - 6 are available on the Commission's web site.
 
  b) Schedules 7 - 13 are to be prepared as applicable by the applicant.
 
  c) Indicate YES or NO beside each Schedule attached. Place N/A to denote those schedules that are not applicable.
 


This document is available in alternative format upon request.
CRTC - 206 (2006-06-20) - Canadian Program Certification - Live Action and Continuous Action Animated Production
version française disponible

***End of Document***