AFFIDAVIT FOR CONNECTION OF
CUSTOMER PREMISE EQUIPMENT (CPE)
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)
___________________________________________(business 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 (check the appropriate
paragraph below):
I attest that all operations associated with the establishment, maintenance and
adjustment of the digital CPE (Customer Premise Equipment) with respect to
analog content and encoded billing protection information continuously com-
plies 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 tele-
communications 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 th
establishment, maintenance and adjustment of the encoded analog content and
billing information has (have) been trained to perform these functions by suc-
cessfully having completed one of the following: (check the box identifying
the appropriate paragraph below):
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