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Affidavit Requirements for Connection to Digital Services

• Anaffidavitisrequiredtobegiventothetelephonecompanywheneverdigitalterminalequipment

without encoded analog content and billing protection is used to transmit digital signals contain-

ing encoded analog contentwhich areintended for eventual conversion intovoiceband analogsig-

nals and transmitted on the network.

• The affidavit shall affirm that either no encoded analog content or billing information is being

transmitted or that the output ofthe device meets Part 68 encoded analog content orbilling protec-

tion specifications.

• End user/customer will be responsible for filing an affidavit with the local exchange carrier when

connecting unprotected customer premise equipment (CPE) to 1.544 Mbps or subrate digital ser-

vices.

• Until such time as subrate digital terminal equipment is registered for voice applications, the affi-

davit requirement for subrate services is waived.

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 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:

( ) I attest that all operations associated with the establishment, maintenance, and adjustment of the

digital CPE with respect to analog content and encoded billing protection information continu-

ously 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.

( ) Theencoded analog content and billing protection is factoryset andis not under the controlof the

customer.

I attest that the operator(s)/maintainer(s) of the digital CPE responsible for the establishment, mainte-

nance, 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 courseprovided bythe customer or authorizedrepresentative, using training mate-

rialsand instructionsprovidedby the manufacturer/granteeof theequipment used to encode

analog signals; or

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