Reference number: …

Date: …

General information

FROM:

Member State (if applicable):

Requested 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):

Requesting 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 4 of Implementing Regulation (EU) 2018/1105 laying down implementing technical standards [to determine procedures and forms for exchange of information] your request for information dated [dd.mm.yyyy] with reference number [insert request reference number] has been processed by us.

Information requested

…

…

…

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 5 of Implementing Regulation (EU) 2018/1105. [Insert name of the Requesting Authority] shall observe the requirements of Article 5 of Implementing Regulation (EU) 2018/1105 with respect to confidentiality restrictions and the permissible uses of information.

Yours sincerely,

[signature]