Specifications

() b. A training course provided by the customer of authorized representative, using training
materials and instructions provided by the manufacture/grantee of the used to encode analog
signal(s); 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 signal(s); or
() d. In lieu of the proceeding training requirements, the operator(s)/maintaine(s) is (are) under the
control of a supervisor trained in accordance with ________ (circle one) above.
I agree to provide _______________ (Telco’s name) with proper documentation to demonstrate compliance with the
information as provided in the preceding paragraphs, if so requested.
_________________(Signature)
________________(title)
__________(date)
Subscribed and Sworn to before me
this ____ day of _____.19__
__________________________
Notary Public
My commission expires:________________