Commission Decision of 14 December 2009 amending Decision 2007/230/EC on a form concerning social legislation relating to road transport activities (notified under document C(2009) 9895) (Text with EEA relevance)

Article 1

The Annex to Decision 2007/230/EC is replaced by the text in the Annex to this Decision.

Article 2

This Decision is addressed to the Member States.

ANNEX

ANNEX
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ATTESTATION OF ACTIVITIES ( 1 )
(REGULATION (EC) No 561/2006 OR THE AETR ( 2 ))
To be filled in by typing and signed before a journey.
To be kept with the original control device records wherever they are required to be kept
False attestations constitute an infringement
Part to be filled in by the undertaking
1. Name of the undertaking: …
2. Street address, postal code, city, country: …
3. Telephone number (including international prefix): …
4. Fax number (including international prefix): …
5. E-mail address: …
I, the undersigned:
6. Name and first name: …
7. Position in the undertaking: …
declare that the driver:
8. Name and first name: …
9. Date of birth (day/month/year): …
10. Driving licence or identity card or passport number: …
11. who has started to work at the undertaking on (day/month/year): …
for the period:
12. from (hour/day/month/year): …
13. to (hour/day/month/year): …
14. was on sick leave (*)
15. was on annual leave (*)
16. was on leave or rest (*)
17. drove a vehicle exempted from the scope of Regulation (EC) No 561/2006 or the AETR (*)
18. performed other work than driving (*)
19. was available (*)
20. Place: …
Date: …
Signature
21. I, the driver, confirm that I have not been driving a vehicle falling under the scope of Regulation (EC) No 561/2006 or the AETR during the period mentioned above.
22. Place: …
Date: …
Signature of the driver
( 1 ) This form is available in electronic and printable versions at the following address: http://ec.europa.eu
( 2 ) European Agreement concerning the Work of Crews of Vehicles engaged in International Road Transport.
(*) Choose only one box.

Cite this act

Commission Decision of 14 December 2009 amending Decision 2007/230/EC on a form concerning social legislation relating to road transport activities (notified under document C(2009) 9895) (Text with EEA relevance) (EUR-Lex). Retrieved via LawPlayer, https://lawplayer.com/eu/act/32009D0959