ADTRAN Express 4100, User Manual

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AFFIDAVIT FOR CONNECTION OF CUSTOMER PREMISES EQUIPMENT TO
1.544 MBPS AND/OR SUBRATE DIGITAL SERVICES
For the work to be performed in the certified territory of _______________
(telco name)
State of ________________
County of ________________
I, _____________________________ (name), _____________________
(business address), ____________________ (telephone number) being
duly sworn, state:
I have responsibility for the operation and maintenance of the terminal equip-
ment to be connected to 1.544 Mbps and/or ________ subrate digital services.
The terminal equipment to be connected complies with Part 68 of the FCC
rules except for the encoded analog content and billing protection specifica-
tions. With respect to encoded analog content and billing protection:
( ) I attest that all operations associated with the establishment, maintenance,
and adjustment of the digital CPE with respect to analog content and encoded
billing protection information continuously complies with Part 68 of the FCC
Rules and Regulations.
( ) The digital CPE does not transmit digital signals containing encoded ana-
log content or billing information which is intended to be decoded within the
telecommunications network.
( ) The encoded analog content and billing protection is factory set and is not
under the control of the customer.
I attest that the operator(s)/maintainer(s) of the digital CPE responsible for the
establishment, maintenance, and adjustment of the encoded analog content
and billing information has (have) been trained to perform these functions by
successfully having completed one of the following (check appropriate
blocks):