ADTRAN Smart 16e Shelf User Manual page 6

Smart 16e Shelf User 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 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 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/grantee of the equipment used to encode analog signals; or
6 © 2004 ADTRAN, Inc. 64202023L5-1B