Canadian Radio-television and Telecommunications Commission
 

Symbol of the Government of Canada
 

Application for a Programming Amendment
to a Broadcasting Licence for an Analog or
Transitional Digital Television (DTV-T) Undertaking

GENERAL INSTRUCTIONS


 

Applicants/Licensees should consult Public Notice CRTC 2002-31 dated 12 June 2002 -- A licensing policy to oversee the transition from analog to digital, over-the-air television broadcasting.
 

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 names of the documents attached to your application form reflect the ascending order in which they should appear on the public file and that each file name includes 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 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.
 

 

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. Responses must be provided, at a minimum, in a size 10 font.
 

 

The Commission may return the application if it has not been duly completed.  The onus will be on applicants to submit a clear application that provides all of the relevant information, identifies all regulatory issues raised in the application and provides supporting documentation.
 

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 applicant 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 the public file.
 


 

For Commission's use

Application number

 

Canadian Radio-television and Telecommunications Commission

Application for a Programming Amendment
to a Broadcasting Licence for an Analog or
Transitional Digital Television (DTV-T) Undertaking

1.  GENERAL INFORMATION


 

LOCATION OF UNDERTAKING:  ________________________ 
 

1.1

Provide a brief description of your application:
 

1.2

List all the documents you request be treated as confidential:
 

1.3

IDENTIFICATION OF LICENSEE
 

 

Individual (  )
 

Company to be incorporated (  )
 

 

Company (  )  
 

Other (  ) Specify:  ____________________
 

 

NAME:
ADDRESS:
FAX:
E-MAIL:

CONTACT PERSON REPRESENTING THE LICENSEE
(if there is no appointed agent under question 1.5)

NAME:
TITLE:
TELEPHONE:

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

FAX:
E-MAIL:
 

1.4

ASSOCIATED TELEVISION UNDERTAKING (FOR DTV UNDERTAKINGS ONLY)
 

 

Specify licensee, call sign, and location of associated analog television undertaking:
 

Licensee

Call Sign

Location

     

 


1.5


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:

 

1.6

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:
 

1.7

EXAMINATION BY THE PUBLIC

Indicate one or more public locations, within the area served, where the application may be examined by the general public.  If several transmitters are in use, indicate a location within the area served by each transmitter.

ADDRESS(ES):
 

1.8

IT IS MANDATORY that you file a Supplementary Brief (no more than five pages) identified as Appendix 1, ensuring that you, at a minimum:

 

List the existing programming requirement(s) and the proposed amendment(s).

 

Provide the rationale for the proposed amendment(s), including reference to any relevant regulations and Commission policies.

 

Provide supporting evidence or reasons why this amendment(s) should be approved.

 

In cases where the applicant is proposing an exception to any regulations or Commission policies, provide details, rationale and any other information relevant to such proposal to explain why the proposed exception is warranted in the circumstances.

 

In Broadcasting Circular CRTC 2006-1, the Commission stated that it would not generally be disposed to review, on an expedited basis, applications for licence amendments that are received within two years following the implementation of a new service or the date of a Commission decision relating to an amendment concerning the same or a similar case.  Indicate how long the undertaking has been operating under the existing requirement(s).  If less than 24 months, explain why this amendment(s) is required.
 


 

2.  FINANCIAL OPERATIONS
 

2.1

Provide a short narrative explaining the expected impact on the market (effect on your station and other stations in the market) that the approval of your proposal would have.
 

 

You may choose to include three years of financial projections (revenues and expenses), with and without approval of the proposed amendment, including financial assumptions and calculations.
 


 

BOOK OF SUPPORTING DOCUMENTS
 

APPENDIX NUMBER AND NAME

APPENDED
(Yes or No)

E-FILED
(Yes or No)

SECTION 1:  GENERAL INFORMATION

1

 Supplementary Brief (mandatory)

 

 


This document is available in alternative format upon request.
CRTC 131 (2006-10-
26)  - Programming Amendment - Analog & Transitional Digital Television (DTV-T)
version française disponible

 

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