ANNEX III
Form for the reply to a request for assistance
Reply to a request for assistance
Reference number:
Date:
Annexes: [Specify the number of documents/supporting documents attached]
General information
FROM:
Member State:
Requested Authority:
Legal address:
[Insert the contact details of the contact point designated pursuant to Article 2 of Commission Implementing Regulation (EU) 2018/292, or the person designated as contact point for dealing with this request and identified below]
Name:
Telephone:
Email:
TO:
Member State:
Requesting Authority:
Legal address:
[Insert the contact details of the designated contact point under Article 2 of Commission Implementing Regulation(EU) 2018/292 unless otherwise specified by the requesting authority]
Name:
Telephone:
Email:
Dear [Insert appropriate name]
In accordance with Article 5 of Commission Implementing Regulation (EU) 2018/292, your request dated [dd.mm.yyyy] with reference [Insert request reference number] has been processed by us.
Information gathered
[If the information has been gathered, please set out the information here or provide an explanation of how it will be provided]
The information provided is confidential and is disclosed to [Insert name of the requesting authority] pursuant to the [Insert provision of the applicable sectoral legislation] and on the basis that the information shall remain confidential in accordance with Article 11 of Commission Implementing Regulation (EU) 2018/292 and Article 27 of Regulation (EU) No 596/2014.
The [Insert name of the requesting authority] shall observe the requirements of the Article 11 of Commission Implementing Regulation (EU) 2018/292 with respect to the permissible uses of that information, and of Article 28 of Regulation (EU) No 596/2014 with respect to personal data processing and transfer.
If the [Insert name of the requesting authority] intends to use or disclose information provided in this reply for a purpose different than the one stated in the request but falling under the scope of Regulation (EU) No 596/2014, [Insert name of the requesting authority] shall notify [Insert name of the requested authority] which has 10 working days to object to such use or disclosure on the grounds referred to in Article 25(2) of Regulation (EU) No 596/2014.
If the [Insert name of the requesting authority] intends to use or disclose information provided in this reply for any purpose outside the scope of Regulation (EU) No 596/2014, it shall notify [Insert name of the requested authority] and, unless the exception referred to in Article 27(3) of Regulation (EU) No 596/2014 applies, shall obtain the prior consent of [Insert name of the requested authority] If [Insert name of the requested authority] consents to such a use or disclosure of the information, it may subject it to certain conditions.
Yours sincerely,
[Name and signature]