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Appendix 6 - Music Video Clips

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.

Canadian Program Certification

  1. Identification of the music video clip:

    Title:
    Artist(s):
    Duration:
    Other:
    Video clip #:
    (in order of appearance)

     

  2. Is the video director or producer Canadian?

    1. Video director: (name)

      YES ( ) NO ( )

    2. Video producer: (name)

      YES ( ) NO ( )

     

  3. Are the video production facilities located in Canada?

    YES ( ) NO ( )

    If "YES", specify name and location:

     

  4. Has this video already been qualified as a Canadian selection under regulations previously in effect?

    YES ( ) NO ( )

    If "YES", indicate date:

    CRTC certification number:

     

  5. Are the music or lyrics performed principally by a Canadian?

    YES ( ) NO ( )

    If "YES", identify performer:

     

  6. Is the music composed entirely by a Canadian?

    YES ( ) NO ( )

    If "YES", identify composer:

     

  7. Are the lyrics written entirely by a Canadian?

    N/A ( ) YES ( ) NO ( )

    If "YES", identify writer:

     

  8. Does the music video clip consist of a live performance that is entirely recorded in Canada?

    YES ( ) NO ( )

    If "YES", specify location and date of performance:

     

  9. Was the performance recorded after 1 September 1991 and, if so, did a Canadian collaborate with a non-Canadian as composer and lyricist?

    YES ( ) NO ( )

    If "YES", go to question 10 below. 

    If "NO", check "n/a" in question 10 and go to question 11.

     

  10. Did the Canadian in question 9 receive at least 50% of the credit as composer and lyricist according to the records of a recognized performing rights society?

    N/A ( ) YES ( ) NO ( )

     

  11. Is the music video clip an instrumental performance of a musical composition where either the music is composed entirely by a Canadian or the lyrics are written entirely by a Canadian?

    YES ( ) NO ( )

    If "YES", identify composer/writer as applicable:

     

  12. Is the music video clip a performance of a musical composition that a Canadian has composed for instruments only? 

    YES ( ) NO ( )

    If "YES", identify composer:

     

    All references to "Canadian" above refer to a Canadian citizen or to a landed immigrant whose date of landing was prior to the start of production of the video clip.

CRTC - Appendix 6 (2016-11-29) - Canadian Program Certification - Music Video Clips

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