Affidavit for the Connection of Customer Premises
Equipment to ISDN 64 Kbit/s.
For the work to be performed in the certified territory of
_______________________________
Telco Name
State of __________________, County of _______________________,
I,____________________________,
____________________________________________,
name
business address
________________________, being duly sworn, state:
telephone no.
I have responsibility for the operation and maintenance of the equipment to
be connected to ISDN 64Kbits digital services. The terminal equipment to be
connected complies with Part 68 of the FCC rules except for encoding
analog content and billing protection specifications.
The digital CPE does not transmit digital signals containing encoded analog
content or billing information which is intended to be decoded within the
telecommunications network.
Signed:
________________________________
________________________________
title
________________________________
date
Subscribed and sworn to before me
This__________ day of_________, 19_____
_______________________________
Notary Public
My commission expires: _________________________
