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 com-
plies with Part 68 of the FCC rules except for the encoded analog content and billing protection speci- fications. 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 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, mainte- nance, 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 mate- rials 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.
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