Form 303 – Technical amendment to a broadcasting licence for an analog radio (Including a new transmitter)

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.

General information

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.

Electronic copy

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

Website (www.mycompany.com):

E-mail (yourname@yourdomain.com):

All information with an * is required.

1.1 Identification of the applicant

*Select the type 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: (999-999-9999):

1.2 Contact person representing the applicant (if there is no designated representative under 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?

Yes ( ) No ( )

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.

*Applicant Name:
*Designated Representative:
*Signature date:
*Date (yyyy-mm-dd):
*At: (Example: city, province)
*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.

*Name:
*Signature date:
*Date (yyyy-mm-dd):

Witnessed by

* Name:
*Signature date:
*Date (yyyy-mm-dd):
*At: (Example: city, province)

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. 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 (or issued the licence if you are in the first term), and any other relevant CRTC decisions in relation to your amendment: 

3.1 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 yes:
  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 rationale for why the Commission should grant an exception

3.2 Other application(s) before the Commission

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

Yes ( ) No ( )

*If yes, 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 Are you requesting the addition of a rebroadcasting transmitter?

Yes (  ) No (  )

*Please select the type of application?

AM ( ) FM ( )

*If yes, you must submit a contour map for this transmitter as Appendix B to this application form.

 

  Present Operation Proposed Operation / New Transmitter Note
* Frequency     kHz for AM
MHz for FM
* Channel (for FM)      
* Class      
Transmitter Power (for AM) Daytime Watts Daytime Watts  
Night-time Watts Night- time Watts  
* MAXIMUM - Effective Radiated Power (ERP for FM) Watts Watts At beam-tilt or in horizontal plane if no beam-tilt is used
* AVERAGE - Effective Radiated Power (for FM) Watts Watts At beam-tilt or in horizontal plane if no beam-tilt is used
* Antenna Radiation Pattern     Directional/Non-directional antenna
* EHAAT - Effective Height of antenna - Above Average Terrain (for FM) metres metres FM only
* Antenna and Transmitter Site Coordinates N. N. North Latitude
W. W. West Longitude
* Studio Location(s)     City and, where possible, street address
* Subsidiary Communications (SCMO)/Subsidiary Data Yes ( )
No ( )
Yes ( )
No ( )
 
For Rebroadcasting transmitters, identify station rebroadcast     Call Letters
    Frequency
    Location

* 4.2 Are you proposing a new transmission site?

Yes (  ) No (  )

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

4.3 Is this application to improve your signal quality within your authorized current coverage area by either increasing or decreasing the authorized contours?

Yes (  ) No (  )

If yes, note that you will have to submit documents supporting the technical issues to be solved such as complaints and/or signal quality measurements and/or realistic contours as Appendix D to this application form.

If no, 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:

* 4.4 Have you explored further technical solutions in order to address your technical needs while preserving your current coverage? 

Yes (  ) No (  ) N/A ( )

If yes, please explain what option(s) you have considered and why haven’t they been chosen as an option?

If no, please justify the change in technical parameters as well as the impact on coverage:

* 4.5 Does your undertaking remain a low-power unprotected undertaking with the proposed changes?

Yes (  ) No (  ) N/A ( )

If no, is the proposed amendment to modify or improve the signal quality as well as the coverage area within the authorized contours of an FM undertaking by modifying the effective radiated powers, the effective height of antenna above average terrain, transmitter site location, adding a transmitter, or a combination thereof?

If N/A is selected, you must submit contour maps as Appendix B to this application form.

*4.6 Will this proposal result in the use of a second adjacent frequency?

Yes (  ) No (  )

If yes, note that stations impacted as a result in the use of second adjacent frequency will have to be included in section 8 (Respondents) of this application form. Note that applications for use of a second adjacent frequency must submit, as part of their application, agreement letters filed with the affected radio stations as appendix E to this application.

*4.7 Will this proposal result in any low power stations being requested to vacate their frequency?

Yes ( ) No ( )

If yes, please specify which radio stations 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):

5. Establishment costs

*Are you leasing or are you purchasing?

Purchasing ( ) Leasing ( )

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.

Commercial radio

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 result in a change to existing financial projections?

Yes (  ) No (  )

* 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:

If no, you must complete section 6.4.

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

Commercial radio ( )
Campus, Community, Native or other radio ( )

You must complete Appendix F (Commercial radio / Campus, Community, Native or other radio) and append it in section 10 of this application.

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        
* Profit Before Interest and Taxes        
* 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        
* Profit Before Interest and Taxes        
* Interest        
* Other (Specify)        
* TOTAL NON-OPERATING EXPENSES        
* TOTAL EXPENSES        
* PRE-TAX INCOME (loss)        

Campus or Community radio

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 funding        
* Non-government funding (such as grants and fund-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        
* PROFIT BEFORE INTEREST AND TAXES (loss)        
* Interest        
* Other (Specify)        
* TOTAL NON-OPERATING EXPENSES        
* TOTAL EXPENSES        
* PRE-TAX INCOME (loss)
Projections if application is not approved
  * YEAR 1 * YEAR 2 * YEAR 3 Total
REVENUE (after agency commissions)
($000)
* National advertising        
* Local advertising        
* Fund-raising activities        
* Government funding        
* Non-government funding (such as grants and fund-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        
* PROFIT BEFORE INTEREST AND TAXES (loss)        
* Interest        
* Other (Specify)        
* TOTAL NON-OPERATING EXPENSES        
* TOTAL EXPENSES        
* PRE-TAX INCOME (loss)        

*6.4 If yes, please explain the financial impact on other stations: 6.4 Will the proposed amendment have a financial impact on other stations in the market?

Yes (  ) No (  )

*If yes, please 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 Provide quantitative estimates of the population within the service contours, as well as an estimate of the population within the area to which the station's principal marketing activities are/will be directed.

  3 mV/m CONTOUR (FM)
15 mV/m CONTOUR (AM)
0.5 mV/m CONTOUR (FM)
5 mV/m CONTOUR (AM)
* Population: Present    
* Population: Proposed    
Households: Present    
Households: Proposed    

* Sources for the data:

* 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, please fill in the chart below with the required information as stated in the Guidelines on the CRTC Rules of Practice and Procedure.

Respondent Mail or Email address Date served
     
     

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.

*If no, please 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).

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

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

Yes (  ) No (  )

*If yes, 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.

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 A - Proof that technical documents were filed with the Department of Industry Doc3 - Appendix A - Proof of filing with Industry Canada    
* Appendix B -  Maps
(see “Mandatory documents to be appended to the application“ at beginning of this form for the appropriate maps to be included)
Doc4 - Appendix B - Clearly legible maps, in colour, if available of service area.    
Appendix C - Documentation supporting the availability of the proposed transmitter site(s) Doc5 - Appendix C - Availability of the transmitter site(s)    
Appendix D Doc6 - Appendix D - Documentation supporting technical issues such as realistic maps, measurements or copies of complaint letters/E-mails    
Appendix E - Agreements with radio stations Doc7 - Appendix E - Agreements with radio stations    
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 303 (2019-10-11) - Technical amendment to a broadcasting licence for an analog radio (Including a new transmitter)

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