Canadian Radio-television and Telecommunications Commission
 

Symbol of the Government of Canada
 

Application to Renew a Broadcasting
Licence for an INDIVIDUAL Cable
 Distribution Undertaking
OR
Application to Obtain a REGIONAL Broadcasting
Licence for Cable Distribution Undertakings

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 electronically, please ensure that the file name of the electronic 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 applicant/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 an INDIVIDUAL Cable
 Distribution Undertaking
OR
Application to Obtain a REGIONAL Broadcasting
Licence for Cable Distribution Undertakings

1.  GENERAL INFORMATION
 
 SPECIFY LICENCE TYPE:  Regional (  )   Individual (  )
 TYPE OF UNDERTAKING:  Class 1 (  )  Class 2 (  )  Class 3 (  )
 LOCATION:
 (To be identified on the licence)		  

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

CONTACT PERSON REPRESENTING THE APPLICANT/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 applicant/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 APPLICANT/LICENSEE OR ITS APPOINTED AGENT 
 

 		 I, ___________________________________ SOLEMNLY DECLARE THAT:
 

 		 a)
 		 I am the ___________________________ (representative/appointed agent) of the applicant/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

For each undertaking, indicate a location, within the area served, where the application may be examined by the general public.

ADDRESS:
 
RESPOND TO QUESTION 1.5 IF ALREADY OPERATING THE AUTHORIZED CABLE DISTRIBUTION UNDERTAKING(S)
 
1.5
 		 COMPLIANCE

The undertaking(s) previously licensed is(are) operating in compliance with the provisions of its(their) licence(s), the Broadcasting Act,  all applicable regulations, policies and mandatory orders 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(s) is(are) operating in compliance.

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.
 
If all of the ownership information requested in questions 2.1 to 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:                               .
 
• I hereby attest that the information last supplied is accurate and that no changes have been made since then.
 

 
 
 		 YES (  )
 		 NO (  )
 
•
 		 Go to section 3.
 
2.1
 		 For the applicant/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)
         

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 applicant/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 applicant/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
 

SECTION 3 -- TO BE COMPLETED ONLY IF APPLYING FOR A REGIONAL CABLE LICENCE
 
If the information requested in this section is already on file with the Commission and is still current, complete the following:
 
•
 		 The application number or the date where this information was last supplied:                               
 
•
 		 Go to section 4.
 
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 applicant/licensee, a corporation which directly or indirectly controls the applicant/licensee and any shareholder holding 20% or more of the voting shares and/or rights of the applicant/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.  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 applicant/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.
 
4.1
 		 Is the applicant/licensee subject to the 1996 Employment Equity Act (applicable to federally-regulated employers with 100 or more employees)?
 

 
 		 YES (  )
 		 NO (  )
 

 

If YES, go to section 5.
If NO, proceed to question 4.2.
 
4.2
 		 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 4.3 TO 4.5 -- APPLICABLE IF BETWEEN 25 AND 99 EMPLOYEES ONLY:
 
4.3
 		 How do you or will you communicate details of your employment equity policies to managers and staff?
 
4.4
 		 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?
 
4.5
 		 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.)?
 
 

5.  SERVICE INFORMATION - INDIVIDUAL CABLE
LICENCE RENEWAL
 

SECTION 5 -- TO BE COMPLETED ONLY IF APPLYING FOR AN INDIVIDUAL CABLE LICENCE RENEWAL
 
5.1
 		 Please indicate the location of the licensed area, as indicated on the current licence, and provide the coordinate of the local head-end, if applicable.
 
5.2 Provide the number of basic subscribers.
 
5.3 Provide a list of the programming services distributed by the undertaking.
 

INTERCONNECTION
 
5.4
 		 If the undertaking is fully interconnected with another undertaking, specify the primary location of this undertaking:
 
Interconnection with Undertaking Location
   

COMMUNITY CHANNEL
 
5.5
 		 For licensees that elect to distribute a community channel, outline how you will be operating fully in accordance with section 27 of the Broadcasting Distribution Regulations.
 
  For licensees that provide community programming in the greater Toronto, Montreal and Vancouver areas, set out or update your plans and commitments as to how you will reflect the various geographic communities within your licensed areas in these urban centres.
 
INDUSTRY CODES 
 
5.6
 		 The licensee accepts as CONDITIONS OF LICENCE to adhere to the following codes during all hours of the broadcast day:
 

 		 a)
 		 The Cable Television Community Channel Standards, (Public Notice 1992-39 dated 1 June 1992), as amended from time to time and approved by the Commission.
 

 
 
 		 YES (  )
 		 NO (  )
 

 
 		 If NO, provide reasons.
 

 		 b)
 		 The Canadian Association of Broadcaster's Voluntary Code Regarding Violence in Television Programming (Public Notice CRTC 1993-149 dated 28 October 1993), as amended from time to time and approved by the Commission (applicable to community programming and any other programming of a service that it originates).
 

 
 
 		 YES (  )
 		 NO (  )
 

 
 		 If NO, provide reasons.
 
ACCESSIBILITY
 
5.7
 		 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 5A
  • If there has been no change to the licensed area, indicate the application number or the decision number or the decision number where a service area map was last supplied: _________________.
  • If there have been changes to the licensed area, you must submit maps showing the existing and proposed service areas of the undertaking. These may be submitted either in hard copy format (using a 1:50,000 NTS topographical map) or in a file format compatible with a geographical information system (.mid/.mif, .tab). Also provide the map datum and projection used.
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.
Whether there are any or no changes to the licensed area, the Commission encourages you to submit your service area in a geographical information system (GIS) compatible file format (.mid/.mif, .tab). Also provide the map datum and projection used.

 
 

6.  SERVICE INFORMATION - REGIONAL CABLE LICENCE
 

SECTION 6 -- TO BE COMPLETED ONLY IF APPLYING FOR A REGIONAL CABLE LICENCE
 
6.1 Please indicate the location of the licensed areas, as indicated on the current licence of each undertaking that will be part of the proposed regional cable licence.
 
   

Licensed Area

Head-end
 
YES (  )
Coordinates:
NO (  )
 
YES (  )
Coordinates:
NO (  )
 
YES (  )
Coordinates:
NO (  )
   
6.2 For each undertaking, provide the number of basic subscribers.
 
6.3 If applicable, specify new locations you propose to incorporate in this regional licence which are not currently authorized:
 

Primary Location

Secondary Locations
(if applicable)

Head-end
    YES (  )
Coordinates:		 NO (  )
    YES (  )
Coordinates:		 NO (  )
    YES (  )
Coordinates:		 NO (  )


DISTRIBUTION OF SERVICES
 
6.4 For each undertaking, provide a list of the programming services to be distributed.
 

INTERCONNECTION
 
6.5 If an undertaking is fully interconnected with another undertaking, specify the primary location of this undertaking:
 
Interconnection with Undertaking Location
   
   
   

COMMUNITY CHANNEL
 
6.6 For licensees that elect to distribute a community channel, outline how you will be operating fully in accordance with section 27 of the Broadcasting Distribution Regulations, for each undertaking forming part of the proposed regional cable licence.
 
  For licensees that provide community programming in the greater Toronto, Montreal and Vancouver areas, set out or update your plans and commitments as to how you will reflect the various geographic communities within your licensed areas in these urban centres.
 
INDUSTRY CODES 
 
6.7 The applicant/licensee accepts as CONDITIONS OF LICENCE to adhere to the following codes during all hours of the broadcast day:
 

 		 a)
 		 The Cable Television Community Channel Standards, (Public Notice CRTC 1992-39 dated 1 June 1992), as amended from time to time and approved by the Commission.
 

 
 
 		 YES (  )
 		 NO (  )
 

 
 		 If NO, provide reasons.
 

 		 b)
 		 The Canadian Association of Broadcaster's Voluntary Code Regarding Violence in Television Programming (Public Notice CRTC 1993-149 dated 28 October 1993), as amended from time to time and approved by the Commission (applicable to community programming and any other programming of a service that it originates).
 

 
 
 		 YES (  )
 		 NO (  )
 

 
 		 If NO, provide reasons.
 
ACCESSIBILITY
 
6.8
 		 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 6A In the case of existing undertakings:
 
  • If there has been no change to the licensed areas, indicate the application numbers or the decision numbers where service area maps were last supplied: __________________.
 
  • If there have been changes to any of the licensed areas, you must submit maps showing the existing and proposed service areas of each undertaking that has changed. These may be submitted either in hard copy format (using a 1:50,000 NTS topographical map) or in a file format compatible with a geographical information system (.mid/.mif, .tab). Also provide the map datum and projection used.
 
  In the case of new undertakings, provide two original versions of a map showing the area to be served (using a 1:50,000 NTS topographical map). 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.
 
  Whether there are any or no changes to the licensed areas or whether you are applying for new undertakings, the Commission encourages you to submit your service area in a geographical information system (GIS) compatible file format (.mid/.mif, .tab). Also provide the map datum and projection used.
 
 

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 5:  SERVICE INFORMATION - INDIVIDUAL CABLE LICENCE RENEWAL

5A

  Service Area Maps    

SECTION 6:  SERVICE INFORMATION - REGIONAL CABLE LICENCE

6A  Service Area Maps    


This document is available in alternative format upon request.
CRTC 136 (2006-09-26) - Cable - New Regional/Renew Individual
version française disponible

***End of Document***