NATIONAL SECRETARIAT OF JUSTICE
DEPARTMENT OF JUSTICE, RATINGS, TITLES AND QUALIFICATION /
1. Nature of the Rating Request: choose only 1 option:
REGULAR RATING REQUEST (Análise Comum)
Choose this option if this is the first time this particular product is being rated. Edited versions of a previously rated product, with added or removed scenes, are also considered new products never rated before, meaning you should check this option.
RATING UPDATE (Reclassificação)
Choose this option if the product has already received a rating before July 2006, the date when we had a major criteria reformulation, and now you wish for an updated rating using current, refreshed criteria. / VIDEO RATING FORM
2. Market Segment: choose where your product will be exhibited at first. After you have received an official rating, as long as you do not alter the product, you can exhibit it anywhere else using that same rating without a new request or authorization.
COMMERCIAL MOVIE THEATHERS FILM FESTITALS
HOME VIDEO (DVD, Blu-ray, download in app stores, etc) TELEVISION (read text below if you check this)
2.1. New products shown in television can be self-rated by the exhibitor (autoclassificação) OR rated by the Ministry of Justice before it airs (análise prévia). However, you will not be given this option if this new product for television was created by editing a product that was previously rated NR 12 or higher: in this case, it must be rated previously rated by the Ministry. Please choose how you wish your television product to be rated:
THE MINISTRY WILL RATE THE SHOW PREVIOUSLY (análise prévia) I WILL SELF-RATE THE SHOW (utoclassificação)
3. Category: choose only 1 option;
Feature film (70’’+) Medium length (31’’ to 69’’) Short films (max 30’’) Trailer Soap opera
Series single episode Collection of episodes TV show Music concert Other
4. Product identification and content (fill all that apply)
1. Product title in Brazil (just as it should be displayed):2. Original product title:
3. Title of the Series:
4. Season: / 5. Year of production: / 6. Episode number:
7. Country: / 8. Distributor in Brazil: / 9. Producer:
10. Director: / 11. Main Cast:
12. Color:
Colored Black and White / 13. Time Length: / 14. Target rating:
Livre 10 anos 12 anos 14 anos 16 anos 18 anos
15. Media sent to the Ministry: / 16. Genre:
DVD/Blu-ray Digital file
35 mm Internet link
Digital Cinema Other / Drama
Romance
Comedy
Western / Adventure
Documentary
Thriller
Family / Horror
War film
Art film
Crime thriller / Action
Animation
Erotic / Musical
Science Fiction
Other
17. Estimated exhibition date: / 18. TV Channel: / 19. Broadcast region (TV products):
National Regional:______
20. Violence: check all that apply
Weapons
Physical Aggression / Threats
Scary Scenes/Effects
Cruelty / Pain or Suffering
Rape
Corpses
Wounds / Killing
Mutilation
Blood
Suicide / Disturbing/Depressing Themes
Torture
Strong Impact Violence / Gore
Cartoon Violence
21. Sexual content: check all that apply
Partial Nudity
Nudity / Erotic Language
Swearing / Profanity / Implied Sexual Relation
Prostitution / Sexual Relation
Explicit Sexual Relation
22. Drug related content: check all that apply
Light or Implied Use of Alcohol or Tobacco
Use of Alcohol or Tobacco / Use of Illegal Drugs
Use of Illegal Drugs for Medical Purposes / Drug Traffic
Drug Reference
5. Rating Requester
1. Name (person or company): / 2. CPF/CNPJ (if any):3. Address: / 4. City:
/ 5. State: / 6. ZIP Code:
7. Email: / 8. Phone: / 9. Place and Date: / 10. Signature:
11. Pertinent notes: