| Brand | Device Name | Model | Type | Certification Date |
|---|---|---|---|---|
| Broadcom Corporation | 802.11ax WLAN PCI-E Custom Combination Card | BRCM1095 | FCC ID  |
2022-05-02 |
FCC Application Details
| Equipment | 802.11ax WLAN PCI-E Custom Combination Card |
| FRN | 0007091952 |
| Grantee Code | QDS |
| Product Code | -BRCM1095 |
| Applicant Business | Broadcom Corporation |
| Business Address | 270 Innovation Drive , San Jose, California United States 95134 |
| TCB Scope | A4: UNII devices & low power transmitters using spread spectrum techniques |
| TCB Email | [email protected] |
| Applicant | Anne Liang – Manager, Compliance Engineering |
| Applicant Phone | |
| Applicant Fax | 408-543-3377 |
| Applicant Email | [email protected] |
| Applicant MailStop | |
| Test Firm | SPORTON International Inc. |
| Test Firm Contact | Sharon Jiang |
| Test Firm Phone | 138 |
| Test Firm Fax | +886-3-656-9085 |
| Test Firm Email | [email protected] |
| Certified By | Anne Liang – Senior Manager |
| Broadcom Corporation | 802.11ax WLAN PCI-E Custom Combination Card | BRCM1095 | FCC ID |
2020-12-07 |
FCC Application Details
| Equipment | 802.11ax WLAN PCI-E Custom Combination Card |
| FRN | 0007091952 |
| Grantee Code | QDS |
| Product Code | -BRCM1095 |
| Applicant Business | Broadcom Corporation |
| Business Address | 270 Innovation Drive , San Jose, California United States 95134 |
| TCB Scope | A4: UNII devices & low power transmitters using spread spectrum techniques |
| TCB Email | [email protected] |
| Applicant | Anne Liang – Manager, Compliance Engineering |
| Applicant Phone | |
| Applicant Fax | 408-543-3377 |
| Applicant Email | [email protected] |
| Applicant MailStop | |
| Test Firm | SPORTON International Inc. |
| Test Firm Contact | Sharon Jiang |
| Test Firm Phone | 138 |
| Test Firm Fax | 886-3-656-9085 |
| Test Firm Email | [email protected] |
| Certified By | Anne Liang – Senior Manager |
Further Details May Be Available From: fcc.id/QDSBRCM1095 or 
fcc.report/FCC-ID/QDSBRCM1095
| Description | Exhibit Type | File Type | Display Type | File Size | Submission Date | Date Available |
|---|---|---|---|---|---|---|
 Document 5843117 Mirror: FCCID.io - 5843117 QDS-BRCM1095 FCC Dual Client attestation letter | Attestation Statements | Adobe Acrobat PDF | 139.61 K | 2022-04-25 | 2022-05-02 | |
 Document 5843041 Mirror: FCCID.io - 5843041 QDS-BRCM1095 RF Test Report_rev4 | Test Report | Adobe Acrobat PDF | 3.54 M | 2022-04-25 | 2022-05-02 | |
 Document 5843040 Mirror: FCCID.io - 5843040 QDS-BRCM1095 RF Exposure test report_rev2 | RF Exposure Info | Adobe Acrobat PDF | 287.65 K | 2022-04-25 | 2022-05-02 | |
 Document 5843039 Mirror: FCCID.io - 5843039 QDS-BRCM1095 User Manual_rev1 | Users Manual | Adobe Acrobat PDF | 818.68 K | 2022-04-25 | 2022-05-02 | |
 Document 5843038 Mirror: FCCID.io - 5843038 QDS-BRCM1095 Test Photos_rev1 | Test Setup Photos | Adobe Acrobat PDF | 383.38 K | 2022-04-25 | 2022-05-02 | |
 Document 5843037 Mirror: FCCID.io - 5843037 QDS-BRCM1095 OEM installation Guide rev9 | Users Manual | Adobe Acrobat PDF | 528.99 K | 2022-04-25 | 2022-05-02 | |
 Document 5843036 Mirror: FCCID.io - 5843036 QDS-BRCM1095 Internal Photos | Internal Photos | Adobe Acrobat PDF | 130.07 K | 2022-04-25 | 2022-05-02 | |
 Document 5843035 Mirror: FCCID.io - 5843035 QDS-BRCM1095 External Photos | External Photos | Adobe Acrobat PDF | 453.38 K | 2022-04-25 | 2022-05-02 | |
 Document 5843029 Mirror: FCCID.io - 5843029 QDS-BRCM1095 Lable and Location | ID Label/Location Info | Adobe Acrobat PDF | 31.25 K | 2022-04-25 | 2022-05-02 | |
 Document 5843027 Mirror: FCCID.io - 5843027 QDS-BRCM1095 FCC confidentiality request Apr 2022 | Cover Letter(s) | Adobe Acrobat PDF | 139.69 K | 2022-04-25 | 2022-05-02 | |
 Document 5843026 Mirror: FCCID.io - 5843026 Attestations_20220401_v1 - QDS-BRCM1095_POA | Cover Letter(s) | Adobe Acrobat PDF | 135.7 K | 2022-04-25 | 2022-05-02 | |
 Document 5843025 Mirror: FCCID.io - 5843025 Attestations_20220401_v1 - QDS-BRCM1095 FCC C2PC request Mar 2022 | Cover Letter(s) | Adobe Acrobat PDF | 153.78 K | 2022-04-25 | 2022-05-02 | |
 Document 5010826 Mirror: FCCID.io - 5010826 LoA Explanation | Cover Letter(s) | Adobe Acrobat PDF | 110 K | 2020-11-23 | 2020-12-07 | |
| Document 5010825 Mirror: FCCID.io - 5010825 Installation Guidance Document_rev9 | Users Manual | Adobe Acrobat PDF | 528.99 K | 2020-11-23 | 2021-02-20 | |
 Document 5010824 Mirror: FCCID.io - 5010824 Limited Modular Approval Request 11-20-20 | Cover Letter(s) | Adobe Acrobat PDF | 111.16 K | 2020-11-23 | 2020-12-07 | |
| Document 5002496 Mirror: FCCID.io - 5002496 Test report Rev 4 | Test Report | Adobe Acrobat PDF | 3.54 M | 2020-11-17 | 2020-12-07 | |
 Document 4977781 Mirror: FCCID.io - 4977781 LPI Client Device Declarations Rev 10-28-2020 | Attestation Statements | Adobe Acrobat PDF | 135.27 K | 2020-11-02 | 2020-12-07 | |
| Document 4875241 Mirror: FCCID.io - 4875241 External Photos_20200820_v1 - QDS-BRCM1095 External Photos | External Photos | Adobe Acrobat PDF | 453.38 K | 2020-08-26 | 2021-02-20 | |
| Document 4875240 Mirror: FCCID.io - 4875240 QDS-BRCM1095 User Manual_rev1 | Users Manual | Adobe Acrobat PDF | 818.68 K | 2020-08-26 | 2021-02-20 | |
| Document 4875239 Mirror: FCCID.io - 4875239 QDS-BRCM1095 Test Photos_rev1 | Test Setup Photos | Adobe Acrobat PDF | 383.38 K | 2020-08-26 | 2021-02-20 | |
| Document 4875237 Mirror: FCCID.io - 4875237 Internal Photos_20200820_v1 - QDS-BRCM1095 Internal Photos | Internal Photos | Adobe Acrobat PDF | 130.07 K | 2020-08-26 | 2021-02-20 | |
| Document 4875099 Mirror: FCCID.io - 4875099 QDS-BRCM1095 RF Exposure test report_rev2 | RF Exposure Info | Adobe Acrobat PDF | 287.65 K | 2020-08-26 | 2020-12-07 | |
| Document 4875098 Mirror: FCCID.io - 4875098 QDS-BRCM1095 Label and Location | ID Label/Location Info | Adobe Acrobat PDF | 31.25 K | 2020-08-26 | 2020-12-07 | |
 Document 4875097 Mirror: FCCID.io - 4875097 QDS-BRCM1095 LOA | Cover Letter(s) | Adobe Acrobat PDF | 129.14 K | 2020-08-26 | 2020-12-07 | |
 Document 4875096 Mirror: FCCID.io - 4875096 QDS-BRCM1095 FCC confidentiality letter | Cover Letter(s) | Adobe Acrobat PDF | 136.31 K | 2020-08-26 | 2020-12-07 | |
QDS-BRCM1095 LOA | Cover Letter(s) | Adobe Acrobat PDF | 129.14 K | 2020-08-26 | 2020-12-07 | |
QDS-BRCM1095 RF Exposure test report_rev2 | RF Exposure Info | Adobe Acrobat PDF | 287.65 K | 2020-08-26 | 2020-12-07 | |
QDS-BRCM1095 OEM Installation Guidance Document_rev1 | Users Manual | Adobe Acrobat PDF | 274.16 K | 2020-08-26 | 2021-02-20 | |
QDS-BRCM1095 OEM Installation Guidance Document_rev3 | Users Manual | Adobe Acrobat PDF | 211.68 K | 2020-08-31 | 2021-02-20 | |
QDS-BRCM1095 OEM Installation Guidance Document_rev4 | Users Manual | Adobe Acrobat PDF | 20.7 K | 2020-09-10 | 2021-02-20 | |
QDS-BRCM1095 OEM Installation Guidance Document_rev8 | Users Manual | Adobe Acrobat PDF | 142.45 K | 2020-11-02 | 2021-02-20 | |
QDS-BRCM1095 Operation Description | Operational Description | Adobe Acrobat PDF | 211.64 K | 2020-08-26 | ||
QDS-BRCM1095 Operation Description_software security | SDR Software/Security Inf | Adobe Acrobat PDF | 681.93 K | 2020-09-02 | ||
QDS-BRCM1095 RF Test Report_rev2 | Test Report | Adobe Acrobat PDF | 3.14 M | 2020-08-26 | 2020-12-07 | |
QDS-BRCM1095 Test Photos_rev1 | Test Setup Photos | Adobe Acrobat PDF | 383.38 K | 2020-08-26 | 2021-02-20 | |
QDS-BRCM1095 RF Test Report_rev3 | Test Report | Adobe Acrobat PDF | 3.27 M | 2020-08-31 | 2020-12-07 | |
QDS-BRCM1095 Schematics_rev1 | Schematics | Adobe Acrobat PDF | 249.83 K | 2020-08-26 | ||
QDS-BRCM1095 software security rev 5 | SDR Software/Security Inf | Adobe Acrobat PDF | 203.82 K | 2020-11-02 | ||
QDS-BRCM1095 software security rev 7 | SDR Software/Security Inf | Adobe Acrobat PDF | 271.98 K | 2020-11-17 | ||
QDS-BRCM1095 User Manual_rev1 | Users Manual | Adobe Acrobat PDF | 818.68 K | 2020-08-26 | 2021-02-20 | |
Test report Rev 4 | Test Report | Adobe Acrobat PDF | 3.54 M | 2020-11-17 | 2020-12-07 | |
QDS-BRCM1095 Modular approval letter | Cover Letter(s) | Adobe Acrobat PDF | 293.4 K | 2020-08-26 | 2020-12-07 | |
Attestations_20220401_v1 - QDS-BRCM1095 FCC C2PC request Mar 2022 | Cover Letter(s) | Adobe Acrobat PDF | 153.78 K | 2022-04-25 | 2022-05-02 | |
QDS-BRCM1095 Label and Location | ID Label/Location Info | Adobe Acrobat PDF | 31.25 K | 2020-08-26 | 2020-12-07 | |
Attestations_20220401_v1 - QDS-BRCM1095_POA | Cover Letter(s) | Adobe Acrobat PDF | 135.7 K | 2022-04-25 | 2022-05-02 | |
QDS-BRCM1095 Block Diagram_rev2 | Block Diagram | Adobe Acrobat PDF | 27.6 K | 2022-04-25 | ||
QDS-BRCM1095 External Photos | External Photos | Adobe Acrobat PDF | 453.38 K | 2022-04-25 | 2022-05-02 | |
QDS-BRCM1095 FCC confidentiality request Apr 2022 | Cover Letter(s) | Adobe Acrobat PDF | 139.69 K | 2022-04-25 | 2022-05-02 | |
QDS-BRCM1095 FCC Dual Client attestation letter | Cover Letter(s) | Adobe Acrobat PDF | 139.61 K | 2022-04-25 | 2022-05-02 | |
QDS-BRCM1095 Internal Photos | Internal Photos | Adobe Acrobat PDF | 130.07 K | 2022-04-25 | 2022-05-02 | |
QDS-BRCM1095 Lable and Location | ID Label/Location Info | Adobe Acrobat PDF | 31.25 K | 2022-04-25 | 2022-05-02 | |
QDS-BRCM1095 OEM installation Guide rev9 | Users Manual | Adobe Acrobat PDF | 528.99 K | 2022-04-25 | 2022-05-02 | |
QDS-BRCM1095 Operation Description_FCC15.407 Compliance [LPI_STA]_V1 | Operational Description | Adobe Acrobat PDF | 293.96 K | 2022-04-25 | ||
QDS-BRCM1095 RF Test Report_rev4 | Test Report | Adobe Acrobat PDF | 3.54 M | 2022-04-25 | 2022-05-02 | |
QDS-BRCM1095 FCC confidentiality letter | Cover Letter(s) | Adobe Acrobat PDF | 136.31 K | 2020-08-26 | 2020-12-07 | |
External Photos_20200820_v1 - QDS-BRCM1095 External Photos | External Photos | Adobe Acrobat PDF | 453.38 K | 2020-08-26 | 2021-02-20 | |
Installation Guidance Document_rev9 | Users Manual | Adobe Acrobat PDF | 528.99 K | 2020-11-23 | 2021-02-20 | |
Internal Photos_20200820_v1 - QDS-BRCM1095 Internal Photos | Internal Photos | Adobe Acrobat PDF | 130.07 K | 2020-08-26 | 2021-02-20 | |
Limited Modular Approval Request | Cover Letter(s) | Adobe Acrobat PDF | 291.84 K | 2020-11-17 | 2020-12-07 | |
Limited Modular Approval Request 11-20-20 | Cover Letter(s) | Adobe Acrobat PDF | 111.16 K | 2020-11-23 | 2020-12-07 | |
LoA Explanation | Cover Letter(s) | Adobe Acrobat PDF | 110 K | 2020-11-23 | 2020-12-07 | |
LPI Client Device Declarations | Attestation Statements | Adobe Acrobat PDF | 133.06 K | 2020-10-16 | 2020-12-07 | |
Attestations_20220401_v1 - QDS-BRCM1095 U-NII Device SW Security Statement | SDR Software/Security Inf | Adobe Acrobat PDF | 271.98 K | 2022-04-25 | ||
LPI Client Device Declarations Rev 10-28-2020 | Attestation Statements | Adobe Acrobat PDF | 135.27 K | 2020-11-02 | 2020-12-07 | |
NDA agreement for OEM | Operational Description | Adobe Acrobat PDF | 346.27 K | 2020-11-02 | ||
QDS-BRCM1095 Block Diagram_rev1 | Block Diagram | Adobe Acrobat PDF | 249.83 K | 2020-08-26 | ||
LPI Client Device Declarations Rev 1 | Attestation Statements | Adobe Acrobat PDF | 192.38 K | 2020-10-20 | 2020-12-07 |
Related FCC IDs:
- QDS-BRCM1095 - Broadcom Corporation 802.11ax WLAN PCI-E Custom Combination Card [-BRCM1095]