Privacy Notice All personal information created, held or collected by this department is protected under the Privacy Act. This means that you will be informed of the purpose for which it is being collected and how to exercise your right of access to that information. You will be asked for your consent where appropriate. Read the full notice. section_0 Applicant's identification Company Name (required) Contact name (required) Address (required) Canadian representative (if address is outside Canada) Email (required) ISED company number (if available) section_1 Product description Make (required) Brand name (required) Hardware Version Identification Number (HVIN) (required) Product Marketing Name (PMN) Firmware Version Identification Number (FVIN) Host Marketing Name (HMN) (if product is integrated in specific host for special authorization) Detailed description of the equipment or system (required) Technical standard and section(s) for which a deviation is requested (required) Transmitted power levels (required) Antenna characteristics (e.g. gain, type, removable or integrated) (required) Frequency bands of operation (required) Occupied bandwidth (required) Duty Cycle (required) Activity factor Data rates and protocol Estimated number of users or number of units to be used (required) Operational specifications (e.g. intended end-user, typical locations of use, frequency of use, etc) (required) section_2 Special authorization rationale Detailed rationale explaining why the equipment does not comply with the technical equipment standard(s) (required) Detailed rationale explaining why a special authorization would benefit Canadians (required) section_3 Supporting documentation Please attach the following files: Signed cover letter Out of band emission mask (.pdf) Original submission for equipment authorization (with all associated correspondence, including explanation as to why the equipment was rejected or not considered) (as applicable) Test report issued by an ISED-recognized laboratory (as applicable) Study of potential interference and impact on existing and upcoming services Authorization/waiver granted by another regulatory (as applicable) Attachments (required) Upload Upload requirementsMaximum 10 files.200 MB limit.Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. Submit Reset
