Appendix 1C - Conditions of licence, authorizations and expectations

Sample form only: do not complete

This form is for reference purposes only. It is not to be completed in this format.

To complete this and submit it to the CRTC, download the form.

Licensee name:

Location(s) of the licensed undertaking(s):

List existing and new conditions of licence/authorizations/expectations (specify to which undertaking it applies and decision #, if applicable)


Delete Amend Add Proposed amendment (provide wording and specify to which undertaking it applies) Rationale for new COL or amendment
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