Annex V

Digital & dataLevel 1RegulationCRAStage: AdoptedOfficial source

EU DECLARATION OF CONFORMITY

The EU declaration of conformity referred to in Article 28, shall contain all of the following information:

(1)

1.Name and type and any additional information enabling the unique identification of the product with digital elements

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(2)

2.Name and address of the manufacturer or its authorised representative

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(3)

3.A statement that the EU declaration of conformity is issued under the sole responsibility of the provider

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(4)

4.Object of the declaration (identification of the product with digital elements allowing traceability, which may include a photograph, where appropriate)

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(5)

5.A statement that the object of the declaration described above is in conformity with the relevant Union harmonisation legislation

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(6)

6.References to any relevant harmonised standards used or any other common specification or cybersecurity certification in relation to which conformity is declared

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(7)

7.Where applicable, the name and number of the notified body, a description of the conformity assessment procedure performed and identification of the certificate issued

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(8)

8.Additional information:

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Signed for and on behalf of:

(place and date of issue):

(name, function) (signature):