ANNEX IVSupplementary provisions
ANNEX IV Form for provision of unsolicited exchange of information Unsolicited exchange of information Reference number: Date: FROM: Submitting Body: Address: (Contact details of the contact point designated in accordance with Article 2 of Implementing Regulation (EU) 2024/2494) Name: Telephone: Email: TO: Member State: Receiving Body: Address: (Contact details of the contact point designated in accordance with Article 2 of Implementing Regulation (EU) 2024/2494) Name: Telephone: Email: Dear [ insert appropriate name ] In accordance with Article 9 of Implementing Regulation (EU) 2024/2494, we are providing the following information we believe may be of assistance in carrying out your duties. Information provided … … … [ Please set out the details of the information provided, including if relevant a description of any supporting documents or material attached. ] The information provided is confidential and is disclosed to [ Insert name of the submitting body ] pursuant to [ Insert provision of the applicable sectoral legislation ] and on the basis that the information shall remain confidential in accordance with Article 10 of Implementing Regulation (EU) 2024/2494 and Article 100 of Regulation (EU) 2023/1114. The [ Insert name of the receiving body ] shall observe the requirements of Article 10 of Implementing Regulation (EU) 2024/2494 with respect to the permissible uses of that information, and of Article 101 of Regulation (EU) 2023/1114 with respect to the processing and transfer of personal data. Yours sincerely, [signature]