Notice of intent to participate/application for intervenor under the Status of the Artist Act

Important Information

Once you’ve filled out your form electronically, click the “Print to PDF” button at the end of this page. This will allow you to save a PDF version of your completed form to your desktop or mobile device. You must then submit the completed form through the E-FILING tab.

I. Applicant

Name:

Address:

Email Address:

Telephone Number:

Fax Number:

Check applicable box:

Artist

Producer

Artists’ Association

Producers’ Association

Other interested person or organization

II. Applicant's Authorized Representative

Name of Representative:

Address:

Email Address:

Telephone Number:

Fax Number:

III. Identification of Proceedings

Describe the proceedings in which you wish to be heard (Board file number or case name):

IV. Status

Please select one of the following:

I am an intervenor as of right and intend to participate in the above described proceedings.

Pursuant to subsection 19(3) of the Status of the Artist Act, I wish to apply for permission to intervene in the above described proceedings.

Please describe the grounds for intervention, your interest in the matter and the contribution you expect to make to the proceedings if granted permission to intervene:

Signature

Date:

The personal information provided on this form is collected solely for the purpose of administering the Status of the Artist Act and may be accessed by contacting the Board. The information may appear in the Board's written reasons for decision which may be posted on the Board’s Website.

Send a copy to the applicant in the proceeding.

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