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v
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 the responsibility for the operation and maintenance of the terminal
equipment 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
specification. 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 encoded analog content and billing
protection information continuously complies with Part 68 of the FCC rules and
Regulations.
( ) The digital CPE does not transmit digital signals containing encoded analog
content or billing information which is intended to be decoded within the tele-
communications 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 suc-
cessfully having completed one of the following (check appropriate blocks):
( ) A. A training course provided by the manufacturer/grantee of the equipment
used to encode analog signals; or
( ) B. A training course provided by the customer or authorized representative,
using training materials and instructions provided by the manufacturer/
grantee of the equipment used to encode analog signals; or
( ) C. An independent training course (e.g., trade school or technical institution)