RCM Declaration

iDES^ERlS
Product number
Stock number Additional Information
[ASN]
[SEN, SSN, ASN or OEM ID]
QBM3020-1D
S55720-S239
EU types
QBM3020-3D
S55720-S240 EU types
QBM3020-5D
S55720-S241
EU types
QBM3020-10D S55720-S242 EU types
QBM3020-25D
S55720-S243
EU types
QBM3120-1D
S55720-S448
EU types
QBM3120-3D S55720-S449 EU types
QBM3120-5D
S55720-S450
EU types
QBM3120-10D
S55720-S451
EU types
QBM3120-25D S55720-S452 EU types
QBM4000-1
S55720-S247
EU types
QBM4000-3 S55720-S248 EU types
QBM4000-10
S55720-S249
EU types
QBM4000-25 S55720-S250 EU types
QBM4100-1U S55720-S251
EU types
QBM4100-1D S55720-S252 EU types
QBM3100U025U S55720-S223
US types
QBM3100U1 S55720-S224
US types
QBM3100U10 S55720-S227
US types
QBM3100U2.5 S55720-S225
US types
QBM3100U5 S55720-S226
US types
Compliance - applicable Standards and other supporting documents
Evidence of compliance with applicable Standards may be demonstrated by test reports, endorsed/accredited test reports,
certification/competent body Statements.
Having had regard to these documents, I am satisfied the above mentioned product complies with the requirements of the relevant ACMA
Standards made underthe Radiocommunications Act 1992 and the Telecommunications Act 1997.
List the details of the documents the above Statement was made, including the Standard title, number and, if applicable, number of the test
report/endorsed test report or certification/competent body Statement
Unrestricted CE1T1910en_C1 Page 2/3 © Siemens Switzerland, Building Technologies Division
ACMA form -C02
8000074817-C
July 2016