APPENDIX I

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Radio Certification Testing and Application Guide
Bureau Veritas, Tel. 978.486.8880
COMPANY SPECIFIC INFORMATION
1. Applicant Name & Address
2.* Canadian Representative Name & Address
3.* IC Company Number:
Contact Name
Telephone #
email:
Fax #:
Contact Name
Telephone #
email:
Fax #:
4.* FCC Grantee Code:
5.* FCC FRN:
PRODUCT SPECIFIC INFORMATION
6. Product Name:
7. Model Number:
8.* Equipment Product Code:
8(a).* FCC ID:
9.* Unique Product Number (UPN):
9(a).* IC number:
APPLICATION EXHIBITS
(indicate exhibits supplied with this form)
REQUIRED ITEMS
SUPPLIED?
Y
N
N/A
Certification Agreement
Agency Authorization
Letter(s)
Request(s) for
Confidentiality
Schematics
10. Radio Operating Frequencies:
11. Rated Output Power:
11(a). Adjustable? (YES / NO)
12. Modulation(s) employed:
13. Data rate(s):
13(a). Selectable? (YES / NO)
14.* Duty Cycle:
Block Diagram
Operational Description
Bill of Materials
Timing Diagram
Manual
Label Info
15.* Emission Designator:
16. Applicable FCC Rules Section:
17.* Type: Portable / Mobile / Fixed
Modular Approval Exhibit
IC Rep Attestation Letter
PRODUCT DESCRIPTION
(Please describe in general: What is the product? What is it for?, etc. Also include any potentially pertinent information not covered above.)
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Radio Certification Testing and Application Guide
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TESTING REQUIREMENTS
Note:
Certain requirements below may be satisfied by providing multiple samples.
Special software may be required to enable functionality listed below.
18. All ports MUST be populated with a representative cable. Acceptable justifications
for leaving ports unpopulated are limited to: 1) Unsupported, 2) Diagnostic Only, or 3)
Setup Only. All cables necessary to populate (and preferably terminate) each applicable
port must be provided.
19. All equipment required to operate the device must be provided.
20. EUT must be capable of transmitting in both modulated and unmodulated (CW)
modes. Transmitters employing hopping or spreading must have the option to disable
these functions for test purposes.
21. Transmitter must have provision to operate at 100% duty cycle (constant on).
22. Transmitter must be able to be set to max output power (if adjustable).
23. Transmitter must be channel selectable (if applicable; includes hoppers).
24. Transmitter must be data rate selectable for all supported rates (if applicable).
25. EUT must be able to be set to either TX or RX mode (or simultaneous operation).
26. Transmitter must have an antenna connector port adaptable to SMA in order to make
conducted measurements for devices being tested to 15.247, Subpart E, and Licensed rule
parts.
27. All antenna options should be provided along with spec sheets; including antenna
cabling options. Only antennas of the types tested and listed in the application are
allowed for use with the device.
28. Transmitter must operate stand-alone without “link” to another wireless device.
Wired control connections are allowed.
29. A sample must be provided that allows for disassembly in order to take internal board
photos. High resolution photos of both sides of all boards are required. RF “cans” and/or
potting (if used) must be removed from the radio section.
30. Be prepared to leave the transmitter at Curtis-Straus until all approvals have been
granted. We will ship everything back to you upon completion of the project.
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Radio Certification Testing and Application Guide
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REQUIRED EXHIBITS FOR APPLICATION(S)
Note: Each item must be provided as individual electronic files in standard, commonly used formats, (e.g.,
.doc, .jpg, .xls, etc.) however, all exhibits are ultimately converted to .pdf, so this format is preferable.
Please forward these exhibits to mhussain@curtis-straus.com
31. Certification Agreement – This is the only exhibit which may be provided in hard-copy
format. One per company must be on file with Curtis-Straus. If this is your company’s first
Certification project with Curtis-Straus, please ask your account representative at Curtis-Straus to
provide the latest version.
32.* Agent’s Authorization Letters – Cover letters which authorize Curtis-Straus to operate on
your behalf in matters related to the FCC and Industry Canada applications (Sample letters 1 and
2, respectively)
33.* Request(s) for Confidentiality – Cover letters specifying which technical exhibits should
be kept confidential by the FCC and IC. Permanent confidentiality may only be requested for
schematics, block diagrams, technical descriptions, and bills of materials. For instances of timesensitive secrecy (e.g., pre product launch), short-term confidentiality may be requested for
exhibits which reveal more general details of the product. (e.g., photos, manual, etc.) Short-term
confidentiality may be requested for up to 4 increments of 45 days each; maximum of 180 days.
(Sample letters 3 and 4)
34. Canadian Representative Letter of Attestation – Cover letter signed by the representative
residing within Canada, which attests to their agreement to act as the in-country contact on behalf
of the applicant (Sample letter 5 or 6)
35. Schematics – RF portion of the device only
36. Block Diagram – Detailed diagram showing all oscillators in the RF portion of the device.
Each block should show all relevant details such as: signal path, frequency, tuning range, IF, etc.
37. Technical/Operational Description – Description of the circuit functions of the device, with
a statement describing how the device operates. This statement should address the ground system
and antenna(s) used, and focus mainly on the RF circuitry.
38. Bill of Materials – For licensed devices only. RF portion of the device only.
39. Timing Diagram – Worst case 100ms window on-time; this duty cycle will be used to
generate a factor to be applied to transmission related peak measurements, in order to calculate
average measurements. For pulsed transmitters only.
40. Manual – Final version of the user or installation manual containing all FCC and IC required
verbiage.
41. Label Info – Drawing or photo of label location, a description of the label material and
adhesive along with a statement that it will last the lifetime of the product, and an image of the
label with all FCC and IC required information (including actual FCC ID)
42. Modular Approval Exhibit – If applicable, document addressing each requirement described
in 47 CFR 15.212
Revision 11-9-09
*See Appendix for more information
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MANUAL AND LABELING REQUIREMENTS
FCC
43. Manual requires a statement cautioning the user that:
“Changes or modifications not expressly approved by {your company name here}
could void the user’s authority to operate the equipment.”
44. Label requires the following statement:
“This device complies with Part 15 of the FCC Rules. Operation is subject to the
following two conditions: (1) this device may not cause harmful interference, and
(2) this device must accept any interference received, including interference that
may cause undesired operation.”
Note: This statement may be placed in the manual for devices considered extremely small (~8 x 10cm)
45. Label requires FCC ID (Item #8(a)) to appear in type large enough to be legible
without the aid of magnification. It shall appear exactly as follows:
FCC ID XXXYYYYYYYYYYYYYY
Note: DO NOT MASS-PRODUCE LABELS UNTIL A GRANT IS ISSUED. CHANGES MAY BE
REQUIRED!
46. In most cases, the manual will require one of the following statements due to the
associated digital circuitry in the device (unrelated to the RF circuitry):
“This equipment has been tested and found to comply with the limits for a Class B
digital device, pursuant to Part 15 of the FCC Rules. These limits are designed to
provide reasonable protection against harmful interference in a residential
installation. This equipment generates, uses and can radiate radio frequency
energy and, if not installed and used in accordance with the instructions, may
cause harmful interference to radio communications. However, there is no
guarantee that interference will not occur in a particular installation. If this
equipment does cause harmful interference to radio or television reception, which
can be determined by turning the equipment off and on, the user is encouraged to
try to correct the interference by one of the following measures:
-- Reorient or relocate the receiving antenna.
-- Increase the separation between the equipment and receiver.
-- Connect the equipment into an outlet on a circuit different from that to which
the receiver is connected.
-- Consult the dealer or an experienced radio/TV technician for help.”
“This equipment has been tested and found to comply with the limits for a Class A
digital device, pursuant to Part 15 of the FCC Rules. These limits are designed to
provide reasonable protection against harmful interference when the equipment is
operated in a commercial environment. This equipment generates, uses and can
radiate radio frequency energy and, if not installed and used in accordance with
the instruction manual, may cause harmful interference to radio communications.
Operation of this equipment in a residential area is likely to cause harmful
interference in which case the user will be required to correct the interference at
his own expense.”
Revision 11-9-09
*See Appendix for more information
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47. For MODULAR devices, the manual must contain the following (or similar)
instruction:
“End Product Labeling
The final end product must be labeled in a visible area with the following:
“Contains Transmitter Module FCC ID: XYZ (IC: XYZ)” or “Contains FCC ID:
XYZ (IC: XYZ)” or similar wording.”
Industry Canada
48. The following statement must appear either on the device or in the manual:
“Operation is subject to the following two conditions: (1) this device may not
cause harmful interference, and (2) this device must accept any interference
received, including interference that may cause undesired operation.”
Note: If FCC Certification is also being sought, Item #44 satisfies this requirement.
49. The following two statements must appear in the manual for devices with detachable
antennas:
“This device has been designed to operate with the antennas listed below, and
having a maximum gain of [x] dB. Antennas not included in this list or having a
gain greater than [x] dB are strictly prohibited for use with this device. The
required antenna impedance is [y] ohms.”
“To reduce potential radio interference to other users, the antenna type and its
gain should be so chosen that the equivalent isotropically radiated power (e.i.r.p.)
is not more than that permitted for successful communication.”
50. Label requires certification number (Item #9(a)) to appear in type large enough to be
legible without the aid of magnification. It shall appear exactly as follows:
IC: XXXXXX-YYYYYYYYYYY
Note: Label must also contain brand/trade name and model number of the product.
Note: DO NOT MASS-PRODUCE LABELS UNTIL A GRANT IS ISSUED. CHANGES MAY BE
REQUIRED!
RF Exposure Manual Statements (remove references to IC where not applicable)
51. For MOBILE devices subject to RF Exposure concerns: (e.g., 15.247 devices)
“WARNING!
FCC and IC Radiation Exposure Statement:
This equipment complies with FCC’s and IC’s RF radiation exposure limits set
forth for an uncontrolled environment under the following conditions:
1. This equipment should be installed and operated such that a minimum
separation distance of 20cm is maintained between the radiator (antenna) &
user’s/nearby person’s body at all times.
2. This transmitter must not be co-located or operating in conjunction with any
other antenna or transmitter.”
Revision 11-9-09
*See Appendix for more information
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52. For PORTABLE devices where Specific Absorption Rate (SAR) testing is applicable:
“WARNING!
FCC and IC Radiation Exposure Statement:
This portable equipment with its antenna complies with FCC’s and IC’s RF
radiation exposure limits set forth for an uncontrolled environment. This
equipment has shown compliance with FCC’s and IC’s Specific Absorption Rate
(SAR) limits. To maintain compliance follow the instructions below:
1. This transmitter must not be co-located or operating in conjunction with any
other antenna or transmitter.
The following may or may not apply to portable devices with SAR results.
Applicable statements will probably be different from device to device and may
need to be examined on a case by case basis.
2. {If equipment is supplied with accessories, (e.g., belt clip for body worn
operation) then a warning should be included to restrict the use of the device only
to the accessories tested during SAR evaluation. Accessories with metal
components should not be used with the device, unless specifically tested.}”
53. For PORTABLE devices where SAR in NOT applicable: (power[mW] < 60/f[Ghz])
“WARNING!
FCC and IC Radiation Exposure Statement:
This portable equipment with its antenna complies with FCC’s and IC’s RF
radiation exposure limits set forth for an uncontrolled environment. To maintain
compliance follow the instructions below:
1. This transmitter must not be co-located or operating in conjunction with any
other antenna or transmitter.
2. Avoid direct contact to the antenna, or keep contact to a minimum while using
this equipment.”
54. For MODULAR devices subject to RF Exposure concerns:
“This transmitter module is authorized to be used in other devices only by OEM
integrators under the following conditions:
1. The antenna(s) must be installed such that a minimum separation distance
of 20cm is maintained between the radiator (antenna) & user’s/nearby
person’s body at all times.
2. The transmitter module must not be co-located with any other antenna or
transmitter.
As long as the two conditions above are met, further transmitter testing will not
be required. However, the OEM integrator is still responsible for testing the endproduct for any additional compliance requirements with this module installed.
(i.e., digital device emissions, PC peripheral requirements, etc.)
Revision 11-9-09
*See Appendix for more information
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IMPORTANT NOTE: In the event that these conditions cannot be met (for
certain configurations or co-location with another transmitter), then the FCC / IC
authorization is no longer considered valid and the FCC ID / IC number cannot
be used on the final product. In these circumstances, the OEM integrator will be
responsible for re-evaluating the end product (including the transmitter) and
obtaining a separate FCC / IC authorization.
The OEM integrator must be made aware not to provide information to the end
user regarding how to install or remove this RF module in the user manual of the
end product.
The user manual for the end product must include the following information in a
prominent location:
“To comply with FCC’s and IC’s RF radiation exposure requirements, the
antenna(s) used for this transmitter must be installed such that a minimum
separation distance of 20cm is maintained between the radiator (antenna) &
user’s/nearby person’s body at all times and must not be co-located or operating
in conjunction with any other antenna or transmitter.””
Revision 11-9-09
*See Appendix for more information
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SAMPLE LETTERS
Sample Letter 1
Sample Letter of Agency for FCC
(Sample Letter to be produced on company letterhead)
Agent’s Authorization Letter
Current Date
I, an officer of {Company}, do hereby authorize, until further notice, Mairaj Hussain of
Curtis-Straus LLC, One Distribution Center Circle, #1, Littleton, MA 01460, to act on
our behalf in dealings before the Federal Communications Commission with respect to all
matters relating to equipment authorizations under 47 CFR. This authorization includes,
but is not limited to, the signing of Form 731.
I certify that no party (as defined in 47 CFR 1.2002) to this application, including myself,
is subject to a denial of federal benefits, that include FCC benefits, pursuant to section
5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C., 853A.
Certified By:
__________________
<Person listed on FCC website as the contact for the company’s Grantee Code>
<His/her title>
<date>
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Sample Letter 2
Sample Letter of Agency for IC
(Sample Letter to be produced on company letterhead)
Curtis-Straus LLC
Certification Department
One Distribution Center Circle, #1
Littleton, MA 01460
Authority to Act as Agent
On our behalf, I appoint _________________, (Name and address). to act as our agent
in the preparation of this application for equipment certification. I certify that submitted
documents properly describe the device or system for which equipment certification is
sought. I also certify that each unit manufactured, imported or marketed, as defined in
Industry Canada’s regulations will have affixed to it a label identical to that submitted for
approval with this application.
In signing this document I also agree that our equipment below shall not be distributed,
sold, offered for sale or leased in Canada before the details of its certification have been
added to the Industry Canada Radio Equipment List (REL) by Curtis-Straus LLC
Certification Body. I understand that details of the filing may be published on the Industry
Canada REL.
Certification
Number
IC: xxxx-xxxxxxxx
Model Number(s)
Date
Agency Agreement
Expiration Date
Company Name
Company Address
Name and Title of
Person Signing
Contact Info
(Phone and Email)
Signature
Revision 11-9-09
*See Appendix for more information
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Radio Certification Testing and Application Guide
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Sample Letter 3
Sample Request for Confidentiality for FCC
(Sample Letter to be produced on company letterhead)
{Date}
To:
Federal Communications Commission
7435 Oakland Mills Road
Columbia, MD 21046-1609
Curtis-Straus LLC TCB
One Distribution Center Circle, #1
Littleton, MA 02702
Re:
Confidentiality Request
Gentlemen:
This letter is to comply with 47 CFR 0.457(d)(2) and 0.459 pertaining to confidential
material. <COMPANY NAME> requests that the following documents regarding this
submission for FCC ID <XXXXXX> be kept confidential:
1.
2.
3.
Schematics
Block Diagram
Circuit/Technical Description
The material above contains technical data, which would customarily be guarded from
competitors.
{IF REQUESTING SHORT-TERM CONFIDENTIALITY (not common)
Pursuant to Public Notice DA 04-1705, <COMPANY NAME> requests SHORT-TERM
CONFIDENTIALITY for the following information until <45, 90, 134, 180> days after
the grant date of equipment authorization in order to ensure sensitive business
information remains confidential until marketing of the device:
External Photos
Internal Photos
Test Setup Photos
User’s Manual}
Sincerely,
<Person listed on FCC website as the contact for the company’s Grantee Code>
OR
<Person authorized as an agent in the Letter of Agency>
<His/her title>
<date>
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Sample 4
Sample Request for Confidentiality for IC
(Sample Letter to be produced on company letterhead)
To: Certification and Engineering Bureau
Industry Canada
P.O. Box 11490, Station H
3701 Carling Avenue (Building 94)
Ottawa, Ontario
K2H 8S2
Telephone: 613-990-4218
Fax: 613-990-5009
E-mail: certification.bureau@ic.gc.ca
{Date}
Re: Confidentiality Request Regarding our Industry Canada Application
IC:
Model Number(s):
We hereby request the exhibits listed below to be held confidential
Schematics
Block Diagram
Operational Description
These exhibits contain trade secrets and proprietary information not customarily
released to the public. The public disclosure of the material in these exhibits
might provide unjustified benefits to our competitors and be harmful to our
operations.
Sincerely,
<Signature>
<Name>
<Title>
<Contact Information>
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Sample 5 (single certification sample letter)
CANADIAN REPRESENTATIVE LETTER OF ATTESTATION
Canadian Representative
Contact Name:
Company Name:
Address:
Telephone No:
Fax No:
Email:
TO:
Industry Canada
3701 Carling Ave., Bldg. 94,
Ottawa, ON, K2H 8S2
ATTENTION: Certification and Engineering Bureau
This letter is to confirm that we have accepted the responsibility to act as Canadian
Representative on behalf of the Applicant noted below. As Canadian Representative, we
are aware of the requirements involved as outlined in Industry Canada applicable
documents (RSP-100, Section 3.4).
Applicant
Company Name:
Company Number:
Contact Name:
Address:
Telephone No:
Fax No:
Email:
Certification Number:
Model Number:
Signature:
Date:
Signed by (printed name):
Revision 11-9-09
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Sample 6 (multiple certifications sample letter)
CANADIAN REPRESENTATIVE LETTER OF ATTESTATION
Canadian Representative
Contact Name:
Company Name:
Address:
Telephone No:
Fax No:
Email:
TO:
Industry Canada
3701 Carling Ave., Bldg. 94,
Ottawa, ON, K2H 8S2
ATTENTION: Certification and Engineering Bureau
This letter is to confirm that we have accepted the responsibility to act as Canadian
Representative on behalf of the Applicant noted below for all future Industry Canada
certification obtained during the period of this agreement which ends at the specified date
below (if applicable). As Canadian Representative, we are aware of the requirements
involved as outlined in Industry Canada applicable documents (RSP-100, Section 3.4).
Applicant
Company Name:
Company Number:
Contact Name:
Address:
Telephone No:
Fax No:
Email:
This Agreement is valid until (expiry date):
Signature:
Date:
Signed by (printed name):
Revision 11-9-09
*See Appendix for more information
Page 13 of 15
Radio Certification Testing and Application Guide
Bureau Veritas, Tel. 978.486.8880
APPENDIX – NOTES ON VARIOUS ITEMS
Note: If you have a question or concern about an item in this document that is not covered below, please let
us know and we will add clarification to this Appendix in future revisions.
2
3
4
5
8
8a
9
9a
14
15
17
32
A contact residing within Canada is required for authorization by IC
An IC Company Number is a company specific number that precedes the Unique
Product Code to make up the final IC Number. Only one is needed per company.
For instructions on obtaining an IC Company Number:
http://strategis.ic.gc.ca/epic/site/ceb-bhst.nsf/en/h_tt00051e.html
The Grantee Code is a company specific code that precedes the Equipment Product
Code to make up the final FCC ID. Only one is needed per company.
To obtain a Grantee Code for your company:
https://apps.fcc.gov/eas/RegisterGrantee.do
The FCC Registration Number is a number issued to your company which is used
in all transactions with the FCC. Only one is needed per company.
To obtain an FRN for your company:
https://apps.fcc.gov/coresWeb/publicHome.do
The Equipment Product Code is a product specific code which follows the Grantee
Code in an FCC ID. You can choose anything up to 14 characters, which may
include only capital letters, Arabic numerals, and the hyphen (-). Should be general
enough to be applicable to whatever models may be covered by the certification.
FCC ID: XXXYYYYYYYYYYYYYY
where X’s = Grantee Code and Y’s = Equipment Product Code
The Unique Product Code is Industry Canada’s equivalent to FCC’s Equipment
Product Code. It follows the IC Company Number with hyphen to make up the IC
Number. You can choose anything up to 11 characters, which may include only
capital letters and Arabic numerals.
IC: XXXXX-YYYYYYYYYYY
Where X’s = IC Company Number and Y’s = Unique Product Code
For pulsed devices, the worst case (longest) on-time possible within any 100ms
window of time determines the duty cycle averaging factor. This factor is
subtracted from the peak measurement of any fundamental-related emission to
produce an average measurement. Factor = 20*log(on-time[ms]/100)
Refer to Industry Canada’s TRC-43 for instructions: (same as FCC’s rules)
http://www.ic.gc.ca/epic/site/smt-gst.nsf/en/sf00057e.html
Any device that is worn on user’s body or near the head (e.g., cell phone) is
considered portable and may be subject to Specific Absorption Rate (SAR)
compliance requirements depending on the applicable rule part, output power, and
frequency. Contact your account manager if unclear. Devices that can reasonably
be operated more than 20cm from the body (e.g., wireless access point) are
considered mobile. These are also devices that can be easily moved around.
Devices that cannot easily be moved around (e.g., licensed base station transceiver)
are considered fixed. These definitions all apply equally to “licensed” and
“unlicensed” products.
FOR FCC: Must be signed by the grantee contact of record in the Grantee Code
database. See: https://apps.fcc.gov/oetcf/eas/reports/GranteeSearch.cfm If the
contact listed is not the individual signing the letters, provide a second Agent’s
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*See Appendix for more information
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Authorization letter where the grantee contact of record authorizes the second
individual. If the contact listed is no longer available, then follow the link to
modify the grantee information accordingly.
FOR FCC: Must be signed by either the grantee contact of record or another
authorized individual by way of the Agent’s Authorization letter. Short-term
confidentiality is not available for Canada.
Revision 11-9-09
*See Appendix for more information
Page 15 of 15
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