Public Program Submission Form
Please use this form to submit a program for playback. Playback cannot except any programming without this form submission. Remember H.264 or SD codecs greater than 3.75Mbps in .mpg .m2t or .mov formats. Please submit content ready for air only NO EXTRA BLACK, BARS, SLATE, OR COUNTDOWN AT THE BEGINNING OR END OF THE PROGRAM. DVDs will NO LONGER be accepted after September 30th 2013. Thank you for your contribution to CTV Programming!
Name of Producer *
Address *
City *
State *
Zip Code *
Phone Number
Email Address *
Title of Program *
Is this a series? *
If "yes" fill out episode title.
Title of Episode
Total Running Time *
HH:MM:SS
Dated Material *
If "Yes" please fill out request kill date
Requested Kill Date
MM
/
DD
/
YYYY
Do you own or have you secured copyright permission for this program and all of its contents? *
If Creative Commons check "YES"
Does it include the following text: *
"This program was produced through the facilities of Community Television of Santa Cruz County, www.communitytv.org" Note: If CTV equipment was used this text must be included in the last ten (10) seconds of your credits.
Potentially Objectionable Material *
Aired during Safe Harbor hours
Program Description *
25 words or less
Allow DVD Duplication? *
Note: CTV will not duplicate your show to DVD without your permission. CTV charges the dub requester for this service
Are you a CTV Member or User? *
Organization
if any
Do you have a signed Statement of Compliance Form on file? *
All Producers who submit programs to CTV must have a signed copy of this form on file at CTV
Release
By checking the box below, I certify that program material that I submit for cablecast will not contain:

1. Material primarily designed to promote the sale of commercial products or services.

2. The solicitation or appeal for funds for any purpose (unless specifically authorized by CTV).

3. Material that constitutes or promotes any lottery or gambling enterprise.

4. Obscene material, which is defined by the U S. Supreme Court in Miller v. California, 413 U.S. 15, 24 (1974):
“A work which, taken as a whole, (1) appeals to the prurient interest, (2) depicts or describes sexual conduct
in a patently offensive way, and (3) lacks serious literary, artistic, political, or scientific value.” CTV (its Board,
agents, and employees) is not authorized to determine whether or not a program is obscene.

5. Material that constitutes libel, slander, invasion of privacy or publicity rights, unfair competition, violation of
trademark or copyright, or that might violate any local, state, or federal law.

6. “Hate speech” or “fighting words,” which are defined by the U. S. Supreme Court as ‘those which by their very
utterance inflict injury or tend to incite an immediate breach of the peace.”
I accept: *
Submit
Never submit passwords through Google Forms.
This form was created inside of Community Television of Santa Cruz County.