Application for a technical amendment to a broadcasting licence for an analog or digital television programming undertaking - Form 302

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 online and submit it to the CRTC, log in to My CRTC Account via the Broadcasting Online Form and Cover Page.

Part 1 of the Rules of Practice and Procedure, Broadcasting and Telecom Regulatory Policy CRTC 2010-958, provides the basic structure for a written proceeding that is initiated by an applicant who files an application with the Commission and serves any respondents. The Commission posts these applications on its website. The public is given an opportunity to file submissions as Interveners or Respondents within 30 days, and the applicant is given an additional 10 days to respond. The Commission examines all of the written submissions and issues a decision. These proceedings are generally referred to as “Part 1 proceedings.”

Applicants that have any questions related to this application form may contact a Commission specialist at 1-866-781-1911.

Important notice: The Commission will return the application if it has not been duly completed. The onus will be on the applicant to submit a complete application that provides all of the relevant information, identifies all regulatory issues raised in the application and provides supporting documentation. All information with an * is required.

1. General information

1.1 Identification of applicant

Corporation ( ) Other ( ) Specify: ____________

* Name of legal entity who is authorized by the Commission to operate this undertaking:
* Call sign or name of service:
* Address:
* City/Town:
* Province/Territory:
* Postal code (A1A 1A1):
* Telephone (999-999-9999):
Facsimile:

1.2 Contact person representing the applicant

(if there is no designated representative under question 1.4)

* Name:
* Title:
* Email (yourname@yourdomain.com):
* Telephone (999-999-9999):

1.3 Sent by

*Name:
*Telephone (999-999-9999): ext:
*Email (yourname@yourdomain.com):

1.4 Designated representative

*Is there a designated representative?

I, _________________________, the applicant, hereby designate _____________________ as my representative 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 (YYYY-MM-DD):
At: (Example: city, province)
Signature (not required when submitting electronically):
Address of designated representative:
Title:
Telephone (999-999-9999):
Facsimile (999-999-9999):
Email (yourname@yourdomain.com):

1.5 Declaration of the applicant or its designated representative

I, * ___________________________________ solemnly declare that:

  1. I am the designated representative of the applicant named in this application and as such have knowledge of all matters declared therein.
  2. 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.
  3. 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.
  4. I have examined the provisions of the Broadcasting Act, the broadcasting regulations and policies relevant to this application.

And I have signed
* Signature: (not required when submitting electronically)
* Date:

Witnessed by
* Signature: (not required when submitting electronically)
* Name (Printed):
* Date:
* At: (Example: city, province)

Mandatory documents to be appended to the application

As part of your application, the Commission requires that you submit the following documents in order to process your application. Failure to do so will result in the Commission returning your application.

  1. Appendix 2A (All applications)

    Proof that technical documents were submitted with the Department of Industry.
    e.g. A copy of the transmittal communication or courier pick-up receipt.

  2. Appendix 2B (All applications)

    Clearly legible maps, in colour if available, as follows:

    • For each new transmitter, a map of the proposed local and regional service areas
    • In the case of a change to the authorized contours of an existing transmitter, a comparative map of the existing and proposed local and regional service areas.
    • In the case of a digital transmitter that is associated with an analog transmitter, a map comparing the local and regional service areas of both transmitters.
    • In the case of overlapping service areas of two or more transmitters operating under the same licence, a discrete map showing the existing and proposed local and regional service areas of these transmitters.

You must file a service area map that reflects the boundaries of the service area in one of the following formats:

A map provided in a standard image or PDF file format must be in a scale that readily permits precise identification of the boundaries of the service area and depicts the location in relation to its surrounding areas. This map must provide a level of detail comparable to that contained in the paper map previously required by the Commission (1:50,000 NTS topographical map).

A map provided in a -compatible file format must be created using a map datum of NAD83. The Commission will only accept the following GIS-compatible file extensions:

2. Procedural Request

The Rules of Procedure allow an interested person to request that the Commission exercise a power under the Rules of Procedure or change the Rules of Procedure for a specific proceeding (sections 5 and 7). This is generally called a procedural request. You may consult the Guidelines on the CRTC Rules of Practice and Procedure, Broadcasting and Telecom Information Bulletin CRTC 2010-959 for more information.

* Is the applicant requesting that the Commission make an exception to its Rules of Procedure in the treatment of this application?

Yes (  ) No (  )

If yes, please indicate which section of the Rules of Procedure you wish to vary, and provide a detailed rationale as to why this request should be granted:

3. Application

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

* Submit a website address or email address where an electronic copy of the application may be requested:

Website:
Example: (www.mycompany.com):

Email:
Example: (yourname@yourdomain.com):

3.1 Description of application

  1. * Provide a description of your application:
  2. * Provide the rationale for the proposed amendment(s) including a clear and concise statement of the relevant facts as well as the grounds of the application:
  3. * Provide the nature of the decision sought:
  4. * Specify the decision number which last renewed your licence (or issued the licence if you are in the first term), and any other relevant CRTC decisions in relation to your amendment:

3.2 Accordance with Acts, Regulations and Policies

It is important to remember that no matter what type of application you are filing, it will be reviewed not only in light of the Acts and their regulations, but also in light of the Commission’s policies. Therefore, you must research any policies that might apply to your type of application and explain how the application addresses the policy. If your application proposes something that is not in line with the policy, you must explain why the policy is not appropriate in your circumstances. You may consult the related documents of your application under Forms and My CRTC Account for a list of Commission policies and regulations.

  1. * Are there any Commission regulations, policies or practices that are relevant to your application:

    Yes (  ) No (  )

    If no, proceed to section 4

    If yes, you must answer questions b) and c)

  2. List any Commission regulations, policies or practices that are relevant to your application:
  3. Is your application consistent with these regulations, policies or practices?

    Yes (  ) No (  )

    If no, provide detailed rational for why the Commission should grant an exception.

3.3 Other application(s) before the Commission

*Are there one or more applications before the Commission regarding the undertaking?

Yes ( ) No ( )

*Specify the application number(s) and provide a short description of the application(s) (e.g. technical amendment, amendment to conditions of licence, ownership transaction).

4. Technical information

Applicants are advised to consult with their broadcast engineering consultants when completing this section to ensure that the information provided is consistent with the Engineering brief submitted to the Department of Industry. It is very important that both documents reflect the same information. Failure to do so will result in the Commission returning your application.

4.1 Transmitter technical parameters

The local service area is the area enclosed within the Grade A Contour or the digital television (DTV) Urban Contour as defined by the Department of Industry in its Broadcasting Procedures and Rules Part 4 (BPR-4) or Part 10 (BPR-10), respectively. Similarly, the regional service area is the area enclosed within the Grade B Contour or Noise-Limited Bounding Contour as defined in BPR-4 or BPR-10, respectively.

  1. * Indicate the existing and proposed parameters for an amendment to an existing television transmitter (analog or digital) or the proposed parameters for a new transmitter. For new digital transmitters associated with an analog transmitter, indicate the parameters of the existing analog transmitter.
      Existing or associated analog Proposed or new transmitter Note
    Call sign and Municipality      
    Analog or Digital      
    Transitional or Post-transition     For DTV transmitters, indicate "regular"
    Channel     Channels 2 to 51 for proposed channel
    Class     If applicable, including low-power
    Maximum Effective Radiated Power (ERP) Watts Watts At beam-tilt angle or in horizontal plane if no beam-tilt is used
    Average Effective Radiated Power (ERP) Watts Watts At beam-tilt angle or in horizontal plane if no beam-tilt is used
    Antenna Radiation Pattern     Directional/Non-directional
    Effective Height Above Average Terrain (EHAAT) metres metres  
    Transmitter Coordinates North North Latitude
    West West Longitude
    Owner of Transmission Site      
    Studio to Transmitter Link (STL) Method     Microwave, fibre-optic cable, VHF/UHF radio link
  2. * Will this amendment have a potential impact on other television stations within the same market?

    Yes (  ) No (  )

    If yes, please specify which television station(s) are potentially affected in the same market.

    Note that stations identified in this section will have to be included in section 8 (Respondents) of this application form.

  3. * Are you proposing a new transmission site?

    Yes (  ) No (  )

    If yes, you must submit documents justifying the availability of this new site as Appendix 2C to this application form.

  4. * Do you have any agreements with other broadcasters on the use of the proposed technical parameters (i.e., the use of a channel reserved for another broadcaster)?

Yes (  ) No (  )

If yes, you must provide the proof of this agreement as Appendix 2D to this application form.

4.2 Digital Transmitters

  1. * Is this amendment for a digital transmitter?

    Yes (  ) No (  )

    If yes, answer questions e. to i.

  2. Are there substantial differences between the regional service areas of the proposed digital transmitter and the current transmitter?

    Yes (  ) No (  )

    If yes, Please explain why:

  3. Is the proposed channel in compliance with IC’s allotment plan?

    Yes (  ) No (  ) N/A ( )

    If no, please explain why:

  4. In this section, indicate the channels identified in the Department of Industry's Transitional and Post-Transition DTV Allotment Plans that associated with the proposed new or amended transmitter, as well as the proposed channel(s) to be used during, and following, the transition period.
      Transitional Post-transition
    Allotment Plan Channel(s)    
    Proposed Channel(s)    
  5. Indicate the expected date on which the operation of the associated analog transmitter will cease:

    (yyyy-mm-dd)

  6. Provide a detailed description of the steps that will be taken to inform over-the-air viewers of the associated analog station of its conversion to digital:

4.3 Transitional DTV Transmitters only

* Is this amendment for a transitional DTV transmitter?

Yes (  ) No (  )

If yes, specify the anticipated changes that will be made to the technical parameters for operation during the post-transition period:

5. Establishment costs

* Indicate the incremental cost to modify existing facilities or the full cost of new items required to implement the proposed service. For leased assets, indicate both the Fair Market Value (FMV; the installed cost if the asset were to be purchased) of the assets to be leased as well as the annual lease payment.

If you are purchasing ( )

  Costs of Assets to be purchased
($)
Studio Plant  
Transmitting Plant  
TOTAL  

If you are leasing ( )

  Value (FMV) of Assets to be leased
($)
Annual lease payment
($)
Studio Plant    
Transmitting Plant    
TOTAL    

6. Financial analysis and considerations

* 6.1 Will the proposed amendment(s) result in a change to existing financial projections?

Yes (  ) No (  )

If yes, you must complete section 6.3.

* 6.2 Do you consider that your proposed amendment is necessary for the financial viability of  your station?

Yes (  ) No (  )

If yes, you must complete questions a) and b) below as well as section 6.3

  1. Please provide a summary of what competitive challenges your station faces:

  2. What steps have you already taken to improve financial performance?

* 6.3 Please provide three years of financial projections (revenues and expenses), with and without approval of the proposed amendment(s) for:

Commercial television (  )
Community-based Television programming service (  )

Commercial television

Projections if application is approved

*YEAR 1 *YEAR 2 *YEAR 3 Total
REVENUE (after agency commissions)
($000)
* National advertising
* Local advertising
* Other (Specify)
* TOTAL REVENUE
OPERATING EXPENSES
($000)
* Programming
* Canadian Content Development
* Technical
* Sales, Advertising and Promotion
* Administration and General
* TOTAL OPERATING EXPENSES
NON-OPERATING EXPENSES
($000)
* Depreciation
* Interest
* Other (Specify)
* TOTAL NON-OPERATING EXPENSES
* TOTAL EXPENSES
* PRE-TAX INCOME (loss)

Projections if application is denied

*YEAR 1 *YEAR 2 *YEAR 3 Total
REVENUE (after agency commissions)
($000)
* National advertising
* Local advertising
* Other (Specify)
* TOTAL REVENUE
OPERATING EXPENSES
($000)
* Programming
* Canadian Content Development
* Technical
* Sales, Advertising and Promotion
* Administration and General
* TOTAL OPERATING EXPENSES
NON-OPERATING EXPENSES
($000)
* Depreciation
* Interest
* Other (Specify)
* TOTAL NON-OPERATING EXPENSES
* TOTAL EXPENSES
* PRE-TAX INCOME (loss)

Community-based Television programming service

Projections if application is approved

*YEAR 1 *YEAR 2 *YEAR 3 Total
REVENUE (after agency commissions)
($000)
* National advertising
* Local advertising
*Fund-raising activities
*Government fundaing
*Non-government funding (grants-raising campaigns,etc.)
* Other (Specify)
* TOTAL REVENUE
OPERATING EXPENSES
($000)
* Programming
* Technical
* Sales, Advertising and Promotion
* Administration and General
* TOTAL OPERATING EXPENSES
NON-OPERATING EXPENSES
($000)
* Depreciation
* Interest
* Other (Specify)
* TOTAL NON-OPERATING EXPENSES
* TOTAL OF PROJECTIONS IF APPLICATION IS APPROVED
*Profit before interest and taxes
* TOTAL EXPENSES
* PRE-TAX INCOME (loss)

Projections if application is denied

*YEAR 1 *YEAR 2 *YEAR 3 Total
REVENUE (after agency commissions)
($000)
* National advertising
* Local advertising
*Fund-raising activities
*Government fundaing
*Non-government funding (grants-raising campaigns,etc.)
* Other (Specify)
* TOTAL REVENUE
OPERATING EXPENSES
($000)
* Programming
* Technical
* Sales, Advertising and Promotion
* Administration and General
* TOTAL OPERATING EXPENSES
NON-OPERATING EXPENSES
($000)
* Depreciation
* Interest
* Other (Specify)
* TOTAL NON-OPERATING EXPENSES
*TOTAL OF PROJECTIONS IF APPLICATION IS DENIED
*Profit before interest and taxes
* TOTAL EXPENSES
* PRE-TAX INCOME (loss)

* 6.4 Will the proposed amendment have a financial impact on other stations in the market?

Yes (  ) No (  )

If yes, explain the financial impact on other stations:

Note that stations identified in this section will have to be included in section 8 (Respondents) of this application form.

7. Marketing

* 7.1 Indicate to which of the communities the station's principle marketing activities will be directed:

* 7.2 Based on the most recent Census of Canada, provide quantitative estimates of the population within the local and regional service areas, as well as an estimate of the population within the area to which the station's principal marketing activities will be directed.

  *Local service area *Regional service area *Principal marketing areaFootnote 1
* Population - Existing      
* Population - Proposed      
Households - Existing      
Households - Proposed      

Footnotes

Footnote 1

The geographic area within which you expect to generate most of your audience and advertising revenue.

Return to footnote 1 referrer

* 7.3 Describe the target audience in terms of its size and composition:

8. Respondents

Pursuant to section 22(1)b) of the CRTC Rules of Procedure (“The Rules”), an application must be served on any respondent. A respondent is defined in section 1 of the Rules as “a person that is adverse in interest to an applicant”.

The onus is on applicants to clearly identify and provide service of the application to all respondents.

Determining who is a respondent to a particular application depends on the specific facts of the application. You can find additional information in the Guidelines on the CRTC Rules of Practice and Procedure, Information Bulletin CRTC 2010-959 that could greatly assist you in the determination of who could potentially be a respondent.

The table below lists the most common examples of respondents who must be served with an application. This list is not exhaustive, nor is it determinative, as the type of respondents may vary according to the particular circumstances of each application (e.g. technical, economic or other).

A person that believes it should have been served as a respondent may file a procedural request with the Commission requesting that they be considered as such. Such request may however cause delays in processing certain applications.

Persons generally considered respondents
Broadcasting
Type of application Respondents
Radio amendments to remove specialty format Existing radio stations (low-power or otherwise) licensed to serve the proposed market
Television and radio technical amendments All television or radio stations whose originating or rebroadcasted signal would suffer interference or that would be required to vacate their frequency or be impacted economically
Television and radio amendments to add, remove or amend a condition of licence requiring expenditures to a specifically named initiative (i.e. Canadian content development contributions, tangible benefits) The persons responsible for the named initiative(s) where the expenditures would be reduced or payment schedule altered
Amendment to the nature of service of a pay or specialty service Category A television services with which the proposed service could be considered competitive
Broadcasting distribution undertaking amendments to distribute a distant signal The local television station whose distant signal is proposed to be carried
Addition to the list of non-Canadian programming services authorized for distribution Licensed Canadian pay and specialty television services with which the proposed service could be considered competitive

* In light of this table, have you provided service of your application on all respondents?

Yes (  ) No (  ) N/A ( )

If yes, fill in the chart below with the required information:

If no, explain why respondents were not served under the circumstances. (i.e. the application may cause the Commission to generate a call and the applicant would therefore be at a competitive disadvantage with potential applicants seeking the same frequency).

If no, proceed to section 9.

Respondent Mail or Email address Date served
     
     

NOTE: Pursuant to section 17 of the Rules, you must serve a person on or before the day you file the document with the Commission. Note that a document is not served until it is received by the intended recipient. Therefore, if you are serving a person by mail, you must send it in time for it to be delivered on or before the day you intend to file the document.

9. Request for documents to be designated as confidential

Sections 30 to 34 of the Implementation of new Rules of Practice and Procedure, Broadcasting and Telecom Regulatory Policy CRTC 2010-958, set out a process by which parties to Commission proceedings may file information on the record of a public proceeding in confidence.

A party filing information can “designate” it as confidential at the time it is filed with the Commission (section 31) if it falls into one of the following categories:

  1. Information that is a trade secret;
  2. Financial, commercial, scientific or technical information that is confidential and that is treated consistently in a confidential manner by the person who submitted it; or
  3. Information the disclosure of which could reasonably be expected
    1. to result in material financial loss or gain to any person;
    2. to prejudice the competitive position of any person; or
    3. to affect contractual or other negotiations of any person.

At the time that the party files the information it designates as confidential, it must provide an abridged version of the document along with an explanation of how the information falls into a category of information listed in section 31. The party must provide a detailed rationale to explain why the disclosure of the information is not in the public interest (section 32(1)).

The confidential version of the document must be filed separately and must be marked “CONFIDENTIAL” on each page. If the document is filed electronically, each file containing confidential information must include “confidential” in the file name.

The abridged version of the document and the reasons for the designation of information as confidential will be placed on the public record of the proceeding.

Please consult the Procedures for filing confidential information and requesting its disclosure in Commission proceedings, Broadcasting and Telecom Information Bulletin CRTC 2010-961 for complete process for filing confidential information.

*Are you requesting for some information to be designated as confidential?

Yes (  ) No (  )

If yes, you must:

Provide a detailed rationale to explain why the disclosure of the information is not in the public interest:

10. Documents to be appended to the application and naming convention of electronic documents

Documents should be submitted in an accessible format (Broadcasting and Telecom Information Bulletin CRTC 2015-242)

The following documents should be submitted as separate electronic documents using the naming convention specified below. The document number (Doc#) indicates the ascending order in which the documents should appear on the public file.

The document name should not exceed 150 characters or include any special characters (%, $, &, /, ( ), #, etc).
The document should not be submitted in .xhtml format.

Optional documents to be appended to the application
Document Electronic file name APPENDED Confidential
Appendix 1 - Supplementary brief (optional) Doc1 - Appendix 1 - Supplementary brief    
Appendix 2 - engineering brief (optional)

You have, in this matter, a choice in submitting a copy of your technical brief to the Commission:
Doc2 - Appendix 2 - Engineering brief (you may designate the engineering as confidential but you must ensure that all maps are included in the abridged version)
  1. If you submit a copy of your technical brief, it will be made public, unless;

  2. You submit a version of your technical brief marked “confidential”. You will then have to submit an abridged version that will be made public.

   
* Appendix 2A - Proof that technical documents were submitted with the Department of Industry Doc3  - Appendix 2A - Proof of filing with IC    
* Appendix 2B - For each new transmitter, a map of the proposed local and regional service areas
In the case of a change to the authorized contours of an existing transmitter, a comparative map of the existing and proposed local and regional service areas.
In the case of a digital transmitter that is associated with an analog transmitter, a map comparing the local and regional service areas of both transmitters.
In the case of overlapping service areas of two or more transmitters operating under the same licence, a discrete map showing the existing and proposed local and regional service areas of these transmitters.
You must file a service area map that reflects the boundaries of the service area in one of the following formats: standard image (e.g., GIF, JPEG, TIFF, BMP), PDF file format or GIS-compatible file format, electronically or on a CD-ROM.
Doc4 - Appendix 2B - Clearly legible maps, in colour, if available of service area.    
*Appendix 2C - Documentation supporting the availability of the proposed transmitter site(s) Doc5 - Appendix 2C - Availability of the transmitter site(s)    
*Appendix 2D - Agreements with other broadcasters Doc6 - Appendix 2D - Agreements with other broadcasters    
Additional documents Doc# - “Specify name of document”    
Each confidential document NOT WEB - Doc# - CONFDOC - "brief description of the document"    
Abridged version of each confidential document Doc# - ABRIDGED VERSION - "same description of document for which confidentiality is requested"    

CRTC 302 (2017-03-14) - Technical Analog and Digital TV Amendment

*** End of Document ***

Date modified: