ANNEX XI
Template for request for information/cooperation
Reference number;
Date;
From:
| 
                         
  | 
                     
                         Member State; Requesting competent authority; Designated contact point (telephone/email);  | 
                  
To:
| 
                         
  | 
                     
                         Member State;  | 
                  
| 
                         
  | 
                     
                         Competent authority;  | 
                  
| 
                         
  | 
                     
                         Designated contact point (name/telephone/email);  | 
                  
Reasons for the request;
The actual request;
References;
Registration number of the PEPP;
Exchange of information, where applicable;
Confidentiality;
Additional information;
Urgency.