Form for the notification referred to in Article 1(2)
ANNEX IISupplementary provisions
ANNEX II Form for the notification referred to in Article 1(2) Member State: Date of the notification: Please fill in Part A if a single competent authority is designated for ensuring compliance with Regulation (EU) 2019/787 or Part B if several competent authorities are designated. In the latter case, please also fill in Part C. PART A COMPETENT AUTHORITY RESPONSIBLE FOR ENSURING COMPLIANCE WITH REGULATION (EU) 2019/787 Name: Address: Telephone number: Email address: PART B LIST OF COMPETENT AUTHORITIES RESPONSIBLE FOR ENSURING COMPLIANCE WITH REGULATION (EU) 2019/787 For each competent authority, please indicate the following information: Name: Address: Telephone number: Email address: Specific responsibility: PART C LIAISON BODY Name: Address: Telephone number: Email address: