Addendum
ANNEX IVSupplementary provisions
ANNEX IV PART I INFORMATION DOCUMENT FOR EU TYPE-APPROVAL OF MOTOR VEHICLES WITH REGARD TO THE ALCOHOL INTERLOCK INSTALLATION FACILITATION Information document No … relating to the EU type-approval of a type of vehicle with regard to the alcohol interlock installation facilitation. The following information shall be supplied in triplicate and include a list of contents. Any drawings or pictures shall be supplied in appropriate scale and in sufficient detail on size A4 or on a folder of A4 format. Photographs, if any, shall show sufficient detail. 0. GENERAL 0.1. Make (trade name of manufacturer): 0.2. Type: 0.2.1. Commercial name(s) (if available): 0.3. Means of identification of type, if marked on the vehicle/component/separate technical unit ( 1 ) : 0.3.1. Location of that marking: 0.4. Category of vehicle: 0.5. Company name and address of manufacturer: 0.8. Name(s) and address(es) of assembly plant(s): 0.9. Name and address of the manufacturer’s representative (if any): 12.2.4. Alcohol interlock installation facilitation (AIF) 12.2.4.1. Manufacturer’s declaration of compliance in accordance with Annex I to Commission Delegated Regulation (EU) 2021/1243 ( 2 ) : 12.2.4.2. Installation document as regards the alcohol interlock installation facilitation 12.2.4.2.1. The installation document covers option(s) 3a/3b/3c ( 1 ) in European Standard EN 50436-7:2016 Annex C PART II EU TYPE-APPROVAL CERTIFICATE (VEHICLE SYSTEM) Communication concerning granting / extension / refusal / withdrawal ( 3 ) of type-approval of a type of vehicle with regard to the alcohol interlock installation facilitation in accordance with the requirements laid down in Commission Delegated Regulation (EU) 2021/1243 ( 4 ) , as last amended by Regulation (EU) No …/… Number of the EU type-approval certificate: Reason for extension / refusal / withdrawal ( 3 ) : SECTION I 0.1. Make (trade name of manufacturer): 0.2. Type: 0.2.1. Commercial name(s) (if available): 0.3. Means of identification of type, if marked on the vehicle: 0.3.1. Location of that marking: 0.4. Category of vehicle: 0.5. Name and address of manufacturer: 0.8. Name(s) and address(es) of assembly plant(s): 0.9. Name and address of the manufacturer’s representative (if any): SECTION II 1. Additional information (where applicable): see Addendum. 2. Technical service responsible for carrying out the tests: 3. Date of the report: 4. Number of the report: 5. Remarks (if any): see Addendum. 6. Place: 7. Date: 8. Signature: Addendum to EU type-approval certificate number … 1. Additional information 1.1. Description of the alcohol interlock installation facilitation: 1.2. Manufacturer’s declaration: 1.3. Installation document: 1.4. The installation document covers option(s) 3a/3b/3c ( 1 ) in European Standard EN 50436-7:2016 Annex C 3. Remarks: ( 1 ) Delete where not applicable. ( 2 ) Commission Delegated Regulation (EU) 2021/1243 of 19 April 2021 supplementing Regulation (EU) 2019/2144 of the European Parliament and of the Council by laying down detailed rules concerning the alcohol interlock installation facilitation in motor vehicles and amending Annex II to that Regulation ( OJ L 272, 30.7.2021, p. 11 , ELI: http://data.europa.eu/eli/reg_del/2021/1243/oj) . ( 3 ) Delete where not applicable. ( 4 ) Commission Delegated Regulation (EU) 2021/1243 of 19 April 2021 supplementing Regulation (EU) 2019/2144 of the European Parliament and of the Council by laying down detailed rules concerning the alcohol interlock installation facilitation in motor vehicles and amending Annex II to that Regulation ( OJ L 272, 30.7.2021, p. 11 , ELI: http://data.europa.eu/eli/reg_del/2021/1243/oj ).