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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 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, mainte-
nance, 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 ):
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