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

Symbol of the Government of Canada
 

Application to Renew a Broadcasting Licence for
a Distribution Undertaking

GENERAL INSTRUCTIONS


 
1.
 		 FILING
 
 
 		 •
 		 File electronically via Epass by attaching the application to the Cover Page, which is available on our web site under "File, Register and Epass". Epass allows secure transmissions to the Commission and also authenticates your identity. A signature is not required when using Epass. For more information, see Broadcasting Circular CRTC 2005-466, Electronic filing of applications.
 
 
 		 •
 		 When filing your application, please ensure that the file name of the documents attached to your application form reflects the ascending order in which they should appear on the public file and that each file name include a brief description of the document content. For example, "Doc1-brief description of document"; "Doc2-brief description of document", and so forth. This will ensure that the application and all related documents are presented in the correct order once they are made available for public viewing.
 
 
 		 •
 		 Applicants who are unable to file their application using Epass should contact the Commission’s Specialist, External Liaison, at (819) 953-4405, for information on alternate filing options.
 
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.
 
 
 		 •
 		 You must file the Application Brief, which includes the questions and responses, and the Book of Supporting Documents, identified as Appendices in the questionnaire.
 
 
 		 •
 		 The Application Brief, filed electronically or otherwise, must be divided into sections, and include the numbered questions, as set out in the questionnaire, each followed by the corresponding response.
 

 		 •
 		 If you wish to enhance or clarify your application, such information should be filed as a Supplementary Brief identified as APPENDIX 1A in the Book of Supporting Documents.
 
3.
 		 PUBLIC EXAMINATION FILE
 

 		 •
 		 Copies of the Commission's letters requesting further information and copies of your replies form part of the application and must be available for examination by the public.
 
4.
 		 CONFIDENTIALITY REQUESTS
 

 		 •
 		 Portions of the application may be treated as confidential, at your request, pursuant to section 20 of the CRTC Rules of Procedure.
 

 		 •
 		 The onus is on the licensee to request confidentiality for the information or material and to clearly demonstrate that the public interest will best be served by treating the information as confidential.  For further information, refer to Circular No. 429 dated 19 August 1998.
 

 		 •
 		 Applicants must ensure that documents that they request be treated as confidential are submitted in a separate electronic file and must incorporate confidential in the name of the file. It is incumbent upon applicants to clearly identify the confidential documents by indicating confidential on each page and, in such cases, to file an abridged version of the document.
 

For Commission's use

Application number

Canadian Radio-television and Telecommunications Commission

Application to Renew a Broadcasting Licence for
a Distribution Undertaking

1.  GENERAL INFORMATION


 
LOCATION OF UNDERTAKING:  ____________________________________________
 
TYPE OF UNDERTAKING  NUMBER OF
SUBSCRIBERS 
 
 Radiocommunication (off-air): 
 MDS   Class 1 (  )   Class 2 (  )   Class 3 (  )   
 LMCS   Class 1 (  )   Class 2 (  )   Class 3 (  )   
 MTV (unscrambled) (  )   
 STV (scrambled) (  )   
 
 Satellite: 
  DTH (  )   
 
 Other (  ) Specify: 		  

1.1
 
IDENTIFICATION OF LICENSEE
NAME:
ADDRESS:
FAX:
E-MAIL:

CONTACT PERSON REPRESENTING THE LICENSEE
(if there is no appointed agent under question 1.2)

NAME:
TITLE:
TELEPHONE:

Please indicate the E-Mail address and FAX number that should be specified in a Public Notice.

FAX:
E-MAIL:
 
1.2
 		 APPOINTMENT OF AGENT

I, _________________________, the licensee, hereby appoint _____________________ as my agent for and on my behalf and in my name to sign, file and complete (if necessary) an application with the Canadian Radio-television and Telecommunications Commission and to sign and file a reply with respect thereto and I do hereby ratify, confirm, and adopt as my own act, such application and all replies made thereto.

Date:
At:
Signature:
ADDRESS OF AGENT:
TITLE:
TELEPHONE:
FAX:
E-MAIL:
 
1.3
 		 DECLARATION OF THE LICENSEE OR ITS APPOINTED AGENT 
 

 		 I, ___________________________________ SOLEMNLY DECLARE THAT:
 

 		 a)
 		 I am the ___________________________ (representative/appointed agent) of the licensee named in this Application Brief and as such have knowledge of all matters declared therein.
 

 		 b)
 		 The statements made in this application, or any document filed pursuant to any request for further information by the Commission, are (will be) to the best of my knowledge and belief true in all respects.
 

 		 c)
 		 The opinions and estimates given in this application, or any document filed pursuant to any request for further information by the Commission, are (will be) based on facts as known to me.
 

 		 d)
 		 I have examined the provisions of the Broadcasting Act and the broadcasting regulations relevant to this application.
 

 		 AND I HAVE SIGNED

Signature:

Date:

WITNESSED BY

Signature:

Name (Printed):

Date:

At:
 
1.4
 		 EXAMINATION BY THE PUBLIC

Indicate a location, within the area served, where the application may be examined by the general public.

ADDRESS:
 
1.5
 		 COMPLIANCE

The undertaking is being operated in compliance, over the licence term, with the provisions of its licence, the Broadcasting Act, and all applicable regulations of the CRTC.
 

 
 		 YES (  )
 		 NO (  )
 

 		 If NO, provide the full details of any non-compliance during the licence term, including the reasons, any remedial action and, where applicable, the period of time expected before the undertaking is operating in compliance.

Date:

At:

Signature of Licensee or its appointed agent:
 
1.6
 		 SAME TERMS AND CONDITIONS

The licensee proposes to operate this undertaking under the same terms and conditions as specified in the current licence and in the last renewal decision or, if there has been no renewal, in the initial licensing decision, and as specified in any subsequent written approvals granted during the term of its current licence.
 

 
 		 YES (  )
 		 NO (  )
 

 		 If NO, provide the proposed amendments(s) by outlining the details and the reasons in support of the proposal(s).

Date:

At:

Signature of Licensee or its appointed agent:
 

2.  OWNERSHIP


 

 		 Definitions:

(1) VOTING SHARES:  The shares to which are attached one or more votes, and includes securities that are convertible into such shares at all times at the option of the holder.
(2) COMMON SHARES:  The shares that represent the residual equity in the earnings of the corporation, and includes securities that are convertible into such shares at all times at the option of the holder and the preferred shares to which are attached rights to participate in the earnings of the corporation with no upper limit.
 
2.1
 		 For the licensee, complete the following tables providing:
 

 		 a)
 		 A list of the directors and officers, including the Chief Executive Officer.
 
 Name of the corporation for which the following table pertains:

DIRECTORS AND OFFICERS

Name

Complete Home
Address

Citizenship

Directors:
Date of
Appointment

Officers:
Position Held
 
         

 
b)
 
A list of shareholders holding 10% or more of the voting shares(1), of the voting rights (when different from the voting shares), and of the Common(2) (participating) shares, by class of shares.
 
 Name of the corporation for which the following table pertains:

CAPITAL STRUCTURE AND SHAREHOLDERS

Shares/
Units

Participating
(X)

Votes
 

Authorized

Issued

Name of Shareholders
(company:  provide jurisdiction)
(individual:  provide complete
home address)

No.
 Held

% of
Votes

Canadian
(X)

               

 
c)
 
A breakdown between Canadian and non-Canadian of the remaining shares not accounted for in b), by class of shares.
 
 Name of the corporation for which the following table pertains:

Class of
Shares

Shareholders

Total Number of
Shares

% of
Votes

Canadian
(X)
         

If all of the ownership information requested in questions 2.2 and 2.3 has already been submitted to the Commission within the last 12 months and is still current, complete the following:
 
•
 		 The application number or the date where this information was last supplied:                               
 
•
 		 Go to section 3.
 
2.2
 		 Complete the following tables for each corporation holding, directly and/or indirectly, 20% or more of the voting interest (shares and/or votes) of the licensee:
 

 		 a)
 		 A list of the directors and officers of the corporation, including the Chief Executive Officer.
 
 Name of the corporation for which the following table pertains:

DIRECTORS AND OFFICERS

Name

Complete Home
Address

Citizenship

Directors:
Date of
Appointment

Officers:
Position Held
 
         

 
b)
 
A list of shareholders holding 10% or more of the voting shares(1), of the voting rights (when different from the voting shares), and of the Common(2) (participating) shares, by class of shares.
 
 Name of the corporation for which the following table pertains:

CAPITAL STRUCTURE AND SHAREHOLDERS

Shares/
Units

Participating
(X)

Votes
 

Authorized

Issued

Name of Shareholders
(company:  provide jurisdiction)
(individual:  provide complete
home address)

No.
 Held

% of
Votes

Canadian
(X)

               

 
c)
 
A breakdown between Canadian and non-Canadian of the remaining shares not accounted for in b), by class of shares.
 
 Name of the corporation for which the following table pertains:

Class of
Shares

Shareholders

Total Number of
Shares

% of
Votes

Canadian
(X)
         

2.3
 
Complete the same tables as in 2.2 for each corporation holding, directly and/or indirectly, 20% or more of the voting interest (shares and/or votes) of the corporations in 2.2 b), and for any corporation forming part of their ownership chain.
 
SUPPORTING DOCUMENT TO BE APPENDED:
 
APPENDIX 2A
 		 A copy of all changes or amendments to the constituting documents (for example, Letters Patent, By-Laws, etc.) of the licensee and of the corporations listed in 2.2 and 2.3, that are not already filed with the Commission.
 

3.  INDUSTRY CONSOLIDATION AND
CROSS-MEDIA OWNERSHIP


 
3.1
 		 Provide a list of all entities involved in any of the areas listed below, for which any investment (equity and/or debt securities) is held by the licensee, a corporation which directly or indirectly controls the licensee and any shareholder holding 20% or more of the voting shares and/or rights of the licensee.
 

 		 a)
 		 Other CRTC licence holder and exempted undertakings
 

 		 b)
 		 Daily newspaper
 

 		 c)
 		 Non-daily newspaper or other media publisher
 

 		 d)
 		 Production or distribution of programming material
 

 		 e)
 		 Lessor of property, plant or equipment of licensee
 

 		 f)
 		 Telecommunications company regulated under the Telecommunications Act
 

 		 g)
 		 Company owning securities in any of categories (a) to (f)
 

4.  SERVICE INFORMATION


 
4.1
 		 Describe the authorized service area noting the name of the principal community(ies):
 
DISTRIBUTION OF SERVICES
 
4.2
 		 Provide a list of the programming services currently being distributed:
 

DISTRIBUTION OF SERVICES 

 Programming services
 Call Sign, Location, Channel/Frequency,
 or Service Name

Service Type
(TV or Audio)

Reception
Method
(Off-air,
Satellite, etc.)

Mode of
Distribution
(Basic(B) or
Discretionary(D))

Channel or
Frequency
 on which signal
will be distributed
 1.             
 2.             
 3.             
 4.             
 5.             

COMMUNITY CHANNEL
 
4.3
 		 In Public Notice CRTC 2002-61 dated 10 October 2002, the Commission set out the provisions of its new Community Channel Policy, and stated that:
 

 
 		 The Commission expects those licensees that elect to distribute a community channel to operate fully in accordance with this policy, effective 6 January 2003.  The performance of licensees in this regard will be examined at the time of licence renewal.
 

 		 For licensees that elected to distribute a community channel, outline how you are operating fully in accordance with the provisions of the new community channel policy, particularly with respect to local programming, access, promotion of access, and service to the hearing and visually impaired.
 
4.4
 		 For licensees that provide community programming in the greater Toronto, Montréal and Vancouver areas, outline how you reflect the various geographic communities within your licensed areas in these urban centres.
 
ACCESSIBILITY
 
4.5
 		 The Broadcasting Act states that "programming accessible by disabled persons should be provided within the Canadian broadcasting system as resources become available for the purpose."  Describe the steps you are taking to make your service more accessible to people who are blind or visually impaired and to people who are deaf or hearing impaired, in particular in the following areas:
 

 		 a)
 		 customer service, for example billing, customer information, or dealing with complaints;
 

 		 b)
 		 program guides/electronic program guides;
 

 		 c)
 		 pass-through of described programming provided on the Secondary Audio Program (SAP) signals of Canadian broadcasters, where appropriate;
 

 		 d)
 		 pass-through of described programming provided on the SAP signals of non-Canadian broadcasters, where appropriate; and
 

 		 e)
 		 any other mechanisms designed to make your services more accessible for people with visual or hearing impairment.
 
SUPPORTING DOCUMENT TO BE APPENDED:
 
APPENDIX 4A
 		 AUTHORIZED SERVICE AREA
 

 		 a)
 		 In the case of cable distribution undertakings provide two original versions of a map showing the area authorized and the area presently being served using a 1:50,000 NTS topographical map.  For multipoint distribution systems, two copies of the contour map provided as part of Industry Canada's technical submission are to be provided.  Maps may be obtained from the regional distributors of the Canada Map Office.  Consult the following web site for the address and telephone number of the distribution centre in your area: http://maps.nrcan.gc.ca/cmo/rdc.html.  For further information, contact the Canada Map Office by telephone at 1-800-465-6277, by telecopier (fax) at 1-800-661-6277 or by e-mail at topo.maps@NRCan.gc.ca.

The maps must not be altered in any way (cut or reduced); do not use highlighters.

In addition to the original maps, the Commission encourages you to submit your proposed service area in a geographical information system (GIS) compatible file format (for example, .mid./.mif, .tab, .dxf, .dwg, .e00, .shp, .dgn). Also provide the map datum and projection used. This file can be submitted electronically or on a diskette or CD Rom.
 

 		 b)
 		 On the map requested above, indicate with an "X" the location of the cable distribution "local head-end" or the location of the transmitter site for the multipoint distribution system.
 

5.  EMPLOYMENT EQUITY

Information relating to employment equity is available
in Public Notices CRTC 1992-59 and 1997-34.
 
The Commission requires responses to questions regarding Employment Equity on behalf of the licensee as a whole, with reference to all of its employees in aggregate, that is, employees at all undertakings for which the licensee holds licences.
 
5.1
 		 Is the licensee subject to the 1996 Employment Equity Act (applicable to federally-regulated employers with 100 or more employees)?
 

 
 		 YES (  )
 		 NO (  )
 

 		 If YES, do not complete the remainder of this section.
If NO, proceed to question 5.2.
 
5.2
 		 Outline examples of any measures (including hiring and training, apprenticeship programs, work arrangements, etc.) that you have or will put in place for the designated groups (women, Aboriginal peoples, persons with disabilities and visible minorities).
 
QUESTIONS 5.3 TO 5.5 -- APPLICABLE IF BETWEEN 25 AND 99 EMPLOYEES ONLY:
 
5.3
 		 How do you or will you communicate details of your employment equity policies to managers and staff?
 
5.4
 		 Have you assigned, or will you assign, a senior level person to be responsible for tracking progress and monitoring results? 
 

 
 		 YES (  )
 		 NO (  )
 

 		 If YES, what authority does or will that person have to ensure goals are achieved?
 
5.5
 		 What financial resources do you have or will you put in place to promote employment equity in the workplace (for example, funds for daycare, access for persons with disabilities, etc.)?
 

BOOK OF SUPPORTING DOCUMENTS


 

APPENDIX NUMBER AND NAME

APPENDED
(Yes or No)

E-FILED
(Yes or No)

SECTION 1:  GENERAL INFORMATION

1A

  Supplementary Brief    

SECTION 2:  OWNERSHIP

2A

  Amendments to constituting documents    

SECTION 4:  SERVICE INFORMATION

4A

  Maps - Authorized / Current service Area    


This document is available in alternative format upon request.
CRTC 123 (2006-03-02) - Distribution - Renewal
version française disponible

***End of Document***