Mitel 3000
Administrator’s 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 for 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/guarantee of the equipment used to encode analog signals; or
D. In lieu of the proceeding 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 proceeding paragraph, if so requested.
Signature
Title
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