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Production Package – Form 203

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.

This application form is to be used for Canadian program certification of Production Packages. A ”production package” is defined as two or more co-productions or co-ventures undertaken by a Canadian production company, together with one or more non-Canadian production companies, where a production with minor foreign involvement that qualifies as a Canadian production is matched with a foreign production with minor Canadian involvement.

Visit our Web site under “Canadian Program Certification Application Forms” to select the appropriate form for other types of productions.

Filing the application

File electronically via My CRTC Account by attaching the application to the Cover Page. My CRTC Account allows you to securely submit documents to the Commission with a user ID and password.

Note that completion of Section 5.0 DECLARATION OF THE APPLICANT OR ITS DESIGNATED REPRESENTATIVE is mandatory, even though a signature is not required when filing the application using My CRTC Account. Applicants who file their application in this matter are not required to submit a hard copy of the application and its related documents.

When filing your application, please ensure that the file name of the documents attached to your application form includes a brief description of the document content. For example, "Doc1-Application"; "Doc2-Appendix 3, Mr. Smith's affidavit", and so forth.

Applicants who cannot send their application electronically using My CRTC Account can contact the Commission at 1-877-249-CRTC (2782).

Instructions

The following application is in HTML format and may be downloaded to the word processing software of your choice. This enables you to complete the downloaded application 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 application.

Consult the Guide to the Canadian Program Certification Application Process which provides important information on completing and filing this application form.

Every line of this application must be completed and all applicable supporting documents and appendices identified in the checklist (Supporting Documents – Line 6.0) must be attached. If a line does not apply, insert N/A (Not Applicable) in the space provided. All supporting documents must be signed and dated.

The Commission reserves the right to refuse the application form if it has not been duly completed, was filled by hand or has been altered. The onus will be on applicants to submit a clear application that provides all of the relevant information and supporting documentation.



For Commission's use

Production Title: _________________________

 

File Number: _________________ PCDOC Number: _________________



1. Conditions for certification

1.1

  1. Is the principle photography started and/or finished?

    YES ( ) NO ( )

  2. Are all key creative personnel under signed contract?

    YES ( ) NO ( )

  3. Are all committed budgets in place?

    YES ( ) NO ( )

IMPORTANT: If you answered NO to any one of these questions, do not submit your application as it could be returned to you. You may proceed with the filing of your application only when your production meets all three of these conditions: the production is underway, all key creative personnel are under contract, and committed budgets are in place. As stated in Public Notice CRTC 2010-905, all three of these requirements must be met for the Commission to issue final certification.


2. Applicant information

2.1 Identification of the applicant

Producer ( ) Broadcaster ( ) Distributor ( )

GIVEN NAME:
SURNAME/FAMILY NAME:
OR COMPANY NAME:
ADDRESS:
CITY (PROVINCE):
POSTAL CODE:
TELEPHONE:
FAX:
E-MAIL:

Note: An applicant may be the producer, the broadcast licensee or the distributor. Unless otherwise requested, the certification letter will be sent to the attention of the person identified on Line 5.0 DECLARATION OF THE APPLICANT OR ITS DESIGNATED REPRESENTATIVE, at the address specified above.

2.2 Contact person representing the applicant

GIVEN NAME:
SURNAME/FAMILY NAME:
ADDRESS:
CITY (PROVINCE):
POSTAL CODE:
TELEPHONE:
FAX:
E-MAIL:


3. Corporate information

3.1 Production company

COMPANY NAME:
ADDRESS:
CITY (PROVINCE):
POSTAL CODE:
TELEPHONE:
FAX:
E-MAIL:
PLACE OF INCORPORATION:
DATE OF INCORPORATION:
WEB SITE:

3.2 Parent production company

For filing purposes, please indicate the ultimate parent company of the Production Company. Where non-applicable indicate N/A.
COMPANY NAME:
ADDRESS:
CITY (PROVINCE):
POSTAL CODE:
TELEPHONE:
FAX:
E-MAIL:
PLACE OF INCORPORATION:
DATE OF INCORPORATION:
WEB SITE:

4. Information on packaged productions

4.1

Final Title of Canadian production: Original Language:

Final Title of Foreign production: Original Language:

4.2

Is there or will there be another language version of these productions?

YES ( ) NO ( )

If YES, indicate:

  1. The other languages used:

  2. The titles of each language versions:

4.3

Are both productions approximately equal in duration?

YES ( ) NO ( )

If YES, indicate the running length of both productions excluding commercial time:

  1. Canadian production (HH:MM:SS):

  2. Foreign production (HH:MM:SS):

Note: The total running time, excluding commercial time, of both the Canadian and foreign productions must be approximately the same duration. In other words, both must fit within the same television time slot.

4.4

Is each production a Series?

YES ( ) NO ( )

If YES, indicate for each production:

  1. Cycle/Season:

    Canadian: Foreign:

  2. No. of episodes:

    Canadian: Foreign:

  3. Episode Numbers:

    Canadian: From: To: Foreign: From: To:

  4. Running length of each episode excluding commercial time:

    Canadian (HH:MM:SS): Foreign (HH:MM:SS):

Note: If one production is a series then both productions must be series. The number of episodes in each series for each production must be the same and the duration of each episode must be approximately equal. Also, see "Note" on Line 4.3.

4.5

Did a Canadian broadcaster(s) commit to broadcast both the Canadian and foreign program?

YES ( ) NO ( )

If YES, provide the name of the broadcaster(s) and specify the broadcast date(s) and the anticipated schedule time. Attach the broadcaster's Letter of Commitment as Appendix A.

Name(s) of the broadcaster(s):

Broadcast date(s) and schedule time(s) for the:

Canadian production (YYYY/MM/DD):

Foreign production (YYYY/MM/DD):

4.6

Is the Canadian copyright for both the Canadian and foreign productions held by Canadians?

YES ( ) NO ( )

If YES, provide as Appendix B, a signed copy of the contract(s) supporting this.

4.7

Is the total cost of each production in Canadian dollars within 15% of each other?

YES ( ) NO ( )

If YES, provide as Appendix C and D respectively, using CRTC's Canadian Program Certification breakdown of costs (BOC) form, a completed BOC form for each production. The BOC form (Appendix 5b) is available on our Web site under “Canadian Program Certification Application Forms”.

4.8

Does the Canadian production company have financial participation of at least 20% in both the Canadian and foreign productions?

YES ( ) NO ( )

If YES, provide as Appendix E, documentary evidence detailing the participation.

4.9

Is the Canadian production company entitled to the equivalent of at least 20% of the worldwide profits of both the Canadian and foreign productions?

YES ( ) NO ( )

If YES, provide as Appendix F, documentary evidence detailing the profit sharing arrangements.

4.10

Are both productions in the same program category and from one of the following categories: drama & comedy, variety, documentary and children's?

YES ( ) NO ( )

If YES, provide as Appendix G, a detailed synopsis of each production.

4.11

Both productions are other than animated productions?

YES ( ) NO ( )

4.12

If you have answered YES to each of Lines 4.3 and 4.5 through 4.11 inclusive, complete and attach as Appendix H, Form #206 - Live Action for the Canadian production or enter below the certification number given by the Commission.

CRTC CANADIAN PROGRAM CERTIFICATION NUMBER:

If you have answered NO to any of Lines 4.3 or 4.5 through 4.11 inclusive, the productions do not qualify as a production package.


5. Declaration of Applicant or its designated representative

Completion of this Section is mandatory.

I, _____________________________ SOLEMNLY DECLARE THAT:

  1. I am the producer or the designated representative of the production company named in this application and as such have knowledge of all matters declared therein.

  2. I certify that the information given herein is true and accurate to the best of my knowledge and belief, and I understand that the Commission retains the right to require additional information to be filed in order to verify or substantiate any of the information filed in the application.

  3. I further understand that, subject to the provisions of the "Access to Information Act," the financial information filed in the application is filed on a confidential basis but that it may be aggregated with other data and made available to the public in aggregate form for statistical analysis and research

  4. I also understand that should the final production be different from what is set out in the application, the certification may be revoked.

AND I HAVE SIGNED

Signature:
(a signature is not required when submitting electronically)

Given name - Surname/Family name (Printed):

Please select: Mr (   ) Mrs. (   ) Ms. (   ) Other (   ), specify:

Title: 

Date:


6. Supporting documents

Production package APPENDED
(YES or NO)
Appendix A Broadcaster's Letter of Commitment (Line 4.5)  
Appendix B Copyright contract(s) (Line 4.6)  
Appendix C Breakdown of costs (BOC) - Canadian production (Line 4.7)  
Appendix D Breakdown of costs (BOC) - Foreign production (Line 4.7)  
Appendix E Document detailing financial participation (Line 4.8)  
Appendix F Document detailing profits sharing (Line 4.9)  
Appendix G Synopsis of each production (Line 4.10)  
Appendix H Application for the Canadian production (Line 4.12)  

CRTC - 203 (2012-09-22) - Canadian Program Certification - Production Package

***End of Document***

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