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 pro- tection information continuously complies with Part 68 of the FCC rules and Regula- tions.
( ) The digital CPE does not transmit digital signals containing encoded analog con- tent or billing information which is intended to be decoded within the telecommuni- cations 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 estab- lishment, 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
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