Registration for Exempt Low-Power Tourist Information Undertakings - Form 151
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 form and submit it to the CRTC, download the MSWord format form here.
General Information
This form is to register a radio undertaking as an exempt low-power tourist information related radio programming undertaking. The undertaking is also required to provide updates of any subsequent change of information within 30 days. Updates are to be filed electronically via My CRTC Account by attaching to the Broadcasting cover page a letter explaining changes of information.
Please indicate if this form involves:
- The registration of the undertaking; or
- Updating information to the initial registration. If so, please provide details on the requested change(s).
Before completing this form, registrants should consult the terms and conditions applicable to exempt low-power tourist information undertakings set out in:
- Amendments to exemption orders for various types of radio programming undertakings, Broadcasting Regulatory Policy CRTC 2018-137, April 27, 2018; Broadcasting Order CRTC 2018-137, April 27, 2018
Once the registration of the radio programming undertaking is processed, information pertaining to the undertaking will be added to the list entitled Radio, TV and Cable Broadcasting Services that do and do not need a licence (the List) available on the Commission’s website.
Instructions
Filing
File electronically via My CRTC Account by attaching the registration form to the Broadcasting cover page. My CRTC Account allows you to securely submit documents to the Commission with a user ID and password. Therefore a signature is not required when using My CRTC Account.
Registrants who need further information relative to CRTC processes can contact a Commission specialist at 1-866-781-1911.
All information with an * is required.
1. General information
IMPORTANT NOTE: Some information provided in this section will be made available to the public on the Commission's website.
1.1 Identification of radio programming undertaking
* Type of station: ( ) AM undertaking ( ) FM undertaking
* Call Sign:
*Location:
*Province:
*Principal language of programming: ( ) English ( ) French ( ) Aboriginal Canadian Language ( ) Third-language
*If Aboriginal Canadian Language or Third-language, specify the predominant language(s):
*Other language(s) of programming:
1.2 Identification of registrant
*Name of legal entity operating this undertaking or the name of the owner of the entity to be incorporated:
*Address:
* City/Town:
* Province/Territory:
*Postal code (A1A 1A1):
*Telephone (999-999-9999): Ext:
Facsimile (999-999-9999):
*Email (companyname@yourdomain.com):
*Website (www.mycompany.com):
Contact person representing the registrant
(if there is no appointed designated representative under question 1.4)
*Name:
*Title:
*Telephone (999-999-9999): Ext:
*Email (yourname@yourdomain.com):
1.3 Sent by
* Name:
* Telephone (999-999-9999): Ext:
* Email (yourname@yourdomain.com):
1.4 Designated representative
*Is there a designated representative?
Yes ( ) No ( )
I,_________________________, the registrant, hereby designate____________________ as my designated representative for and on my behalf and in my name to complete, sign and file a registration form with the Canadian Radio-television and Telecommunications Commission and to sign and file a response with respect thereto (if necessary) and I do hereby ratify, confirm and adopt as my own act, such registration form and all responses made thereto.
*Date:
*At: Example: city, province
Signature (a signature is not required when submitting electronically):
*Address of designated representative:
*Title:
*Telephone (999-999-9999): Ext:
Facsimile (999-999-9999):
*Email (yourname@yourdomain.com):
1.5 Declaration of the registrant or its designated representative
I, *___________________________________ , solemnly declare that:
- I am the registrant or the designated representative of the registrant named in this registration form and as such have knowledge of all matters declared therein.
- The statements made in this registration form or in any document filed pursuant to any request for further information by the Commission are (will be) to the best of my knowledge and believed to be true in all respects.
- The opinions and estimates given in this registration form or in any document filed pursuant to any request for further information by the Commission are (will be) based on facts as known to me.
- I have examined the provisions of the Broadcasting Act and the broadcasting regulations and policies relevant to this registration form.
And I have signed
Signature (a signature is not required when submitting electronically):
*Date (yyyy-mm-dd):
Witnessed by
Signature (a signature is not required when submitting electronically):
* Name:
* Date (yyyy-mm-dd):
* At: Example: city, province
2. Technical information
*Has the Broadcasting Certificate been obtained from the Department of Industry?
( ) Yes ( ) No
*If yes: provide the Broadcasting Certificate Number:
*If no: indicate the date of filing of your application for a Broadcasting Certificate with the Department of Industry (yyyy-mm-dd):
Indicate the basic technical parameters by completing in the table below:
*Frequency Note: kHz for AM, MHz for FM |
|
*Transmitter Power (for AM) | Watts |
*Maximum Effective Radiated Power (ERP) (for FM) | Watts |
3. Launch date
*Has the undertaking already commenced operations (i.e. on air)?
( ) Yes ( ) No
*If yes: provide the date that the undertaking commenced operations (i.e. on air)? (yyyy-mm-dd):
*If no: provide the date that you are expecting to commence operations of your undertaking (i.e. on air)? (yyyy-mm-dd):
4. Compliance with the Exemption Order
To operate as an exempt tourist undertaking, registrants must abide by the terms and conditions applicable to exempt Tourist Information undertakings as set out in Broadcasting Regulatory Policy CRTC 2018-137 and Broadcasting Order CRTC 2018-137.
Confirm that you will abide by the terms and conditions set out in Broadcasting Regulatory Policy CRTC 2018-137 and Broadcasting Order CRTC 2018-137, including that the undertaking will meet technical and programming-related requirements for exempt tourist information undertaking, that the undertaking has implemented a public alerting system on all of its stations, and that the undertaking will be owned and controlled by Canadians, as defined in the Direction to the CRTC (Ineligibility of non-Canadians), by answering "I agree" below.
*I agree ( )
CRTC Form 151 (2018-04-27) – Registration for exemption of a low-power tourist information related radio programming undertaking
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