Reference number: …

Date: …

General information

FROM:

Member State (if applicable):

Requesting Authority:

Legal address:

(Contact details of the designated contact person under Article 7 of the Commission Implementing Regulation (EU) 2018/1105)

Name:

Telephone:

Email:

TO:

Member State (if applicable):

Requested Authority:

Legal address:

(Contact details of the designated contact person under Article 7 of Implementing Regulation (EU) 2018/1105)

Name:

Telephone:

Email:

Dear [insert name]

In accordance with Article 3 of the Implementing Regulation (EU) 2018/1105 laying down implementing technical standards [to determine procedures and forms for exchange of information] information is sought in relation to the matter(s) set out in further detail below.

I would be grateful for the above information by [Insert indicative date for the reply] or, if that is not possible, for an indication as to when you anticipate being in a position to provide the information which is sought.

Reasons for the request for information

…

…

…

[Insert provision(s) of Regulation (EU) 2016/1011 under which the requesting authority is competent to deal with the matter]

The request concerns information on …

…

…

[Insert description of the subject matter of the request, the area of benchmark supervision concerned and the purpose for which the information is sought]

Further to …

[If applicable, insert details of the previous request in order to enable it to be identified]

The information included in this request shall be kept confidential in accordance with Article 5 of Implementing Regulation (EU) 2018/1105.

Yours sincerely,

[signature]