8
Issue 14, April 2003
64200376L1-5A
(CPE) to 1.544 Mbps or subrate digital services.
• Until such time as subrate digital terminal equipment
is registered for voice applications, the affidavit re-
quirement for subrate services is waived.
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 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 specifications. 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 continu-
ously complies with Part 68 of the FCC Rules and
Regulations.
( ) The digital CPE does not transmit digital signals
containing encoded analog content or billing infor-
mation 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):
( ) A. A training course provided by the manufac-
turer/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) recognized by
the manufacturer/grantee of the equipment
used to encode analog signals; or
( ) D. In lieu of the preceding training requirements,
the operator(s)/maintainer(s) is (are) under the
control of a supervisor trained in accordance
with _________ (circle one) above.
I agree to provide ______________________ (telco’s
name) with proper documentation to demonstrate
compliance with the information as provided in the
preceding paragraph, if so requested.
_________________________________Signature
_________________________________Title
_________________________________ Date
Transcribed and sworn to before me
This ________ day of ________, ________
_________________________________
Notary Public
My commission expires:
_________________________________
FCC regulations require that the following
information be provided in this manual to the
customer:
1. This equipment complies with Part 68 of the FCC
rules. The required label is affixed to the bottom of
the chassis.
2. An FCC-compliant telephone cord and modular plug
is provided with this equipment. This equipment is
designed to be connected to the telephone network
or premises wiring using a compatible modular jack
which is Part 68-compliant. See Chapter 2, Installa-
tion, for details.
3. If your telephone equipment (Total Access 850)
causes harm to the telephone network, the telephone
company may discontinue your service temporarily.
If possible, they will notify you in advance. But if
advance notice isn’t practical, you will be notified as
soon as possible. You will be advised of your right to
file a complaint with the FCC.
4. Your telephone company may make changes in its
facilities, equipment, operations, or procedures that
could affect the proper operation of your equipment.
If they do, you will be given advance notice to give
you an opportunity to maintain uninterrupted service.
5. If you experience trouble with this equipment (Total
