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's Name: S
State of: S
Country of: S
I, , of S
(Name Authorized Repressentative) (Customer Name)
, d
(Customer's 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 service. 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:
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I attest that all operations associated with the establishment, maintenance and adjustment of the digital
CPE, with respect to the analog content and encoded billing information, continually complies with Part 68 of
the FCC Rules and Regulations.
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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.
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The encoded analog content and billing protection is factory set and is not under the control of the
customer.