Application for Revocation of Certification

A [PDF Format, 170Kb] of this form is also available.

I. Applicant

Name:

Address:

Telephone Number:

Facsimile Number:

II. Sector for Which Revocation of Certification is Requested

Describe the sector in which you work (use additional sheets if necessary):

What is the name of the artists association which currently represents this sector?

On what grounds are you making this application? (indicate the circumstances which apply):

______ the certified artists association s by-laws discriminate unfairly so as to prevent artists working in the sector from becoming or continuing as members of the association

______ the certified artists association is no longer the most representative of artists working in the sector

______ the certified artists association has not made reasonable efforts to negotiate a scale agreement for the sector

What facts can you present to justify the revocation of this certification? (use additional sheets if necessary)

III. Language of Choice for Tribunal Proceedings

______ English ______ French _____ Bilingual ______

The applicant hereby makes this application pursuant to the Status of the Artist Act for revocation of the certification of the above-described sector.

Signature of Applicant: ____________________________

Date: ________________

Form 2 (02/2006)

Send Completed Form To:
Canadian Artists and Producers Professional
Relations Tribunal
240 Sparks Street, 1st Floor West
Ottawa, Ontario  K1A 1A1