Verilink PRISM 3111 (34-00242) Product Manual User Manual
Page 103

Affidavit for the Connection of
Customer Premises Equipment to
1.544 Mbps and/or Subrate Digital Services
For work to be performed in the certified territory of
Telco’s Name: __________________________________________________________________
State of
__________________________________________________________________
County of
__________________________________________________________________
I, _____________________________________, of ___________________________________,
(Authorized Representative Name)
(Customer Name)
_____________________________________________, _______________________________,
(Customer Address)
(Telephone Number)
being duly sworn, state:
I have responsibility for the operation and maintenance of the terminal equipment to be con-
nected to ______________________ 1.544 Mbps and/or ___________________ subrate digital
services. The terminal equipment to be connected complies with Part 68 of the Commission’s
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, maintenance, and adjustment of the
digital CPE with respect to encoded analog content and encoded billing information continuously
complies with Part 68 of the FCC’s 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 and billing protection is factory set and is not under the control of the
customer.