ADTRAN DSU IV ESP User Manual page 5

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 adjust-
ment 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 con-
tent or billing information which is intended to be decoded within the telecommuni-
cations 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 estab-
lishment, 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) rec-
ognized by the manufacturer/grantee of the equipment used to encode analog sig-
nals; or
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