Annex I

Reference number: ... Date: ... General information FROM: Member State (if applicable): Requesting Authority: Legal address: (Contact details of the designated contact person under Article 7 of the Commission Implementing Regulation (EU) 2018/1105) Name: Telephone: Email: TO: Member State (if applicable): Requested Authority: Legal address: (Contact details of the designated contact person under Article 7 of Implementing Regulation (EU) 2018/1105) Name: Telephone: Email: Dear [insert name] In accordance with Article 3 of the Implementing Regulation (EU) 2018/1105 laying down implementing technical standards [to determine procedures and forms for exchange of information] information is sought in relation to the matter(s) set out in further detail below. I would be grateful for the above information by [Insert indicative date for the reply] or, if that is not possible, for an indication as to when you anticipate being in a position to provide the information which is sought. Reasons for the request for information ... ... ... [Insert provision(s) of Regulation (EU) 2016/1011 under which the requesting authority is competent to deal with the matter] The request concerns information on ... ... ... [Insert description of the subject matter of the request, the area of benchmark supervision concerned and the purpose for which the information is sought] Further to ... [If applicable, insert details of the previous request in order to enable it to be identified] The information included in this request shall be kept confidential in accordance with Article 5 of Implementing Regulation (EU) 2018/1105. Yours sincerely, [signature]