Affidavit Requirements for Connection to Digital Services

Total Access 600 Series System Manual

 

 

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 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 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 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) 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:

_________________________________

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© 2004 ADTRAN, Inc.

61200624L1-1B

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ADTRAN 624, 612, 616, 606, 604 system manual FCC Rules and Regulations