ANNEX III

Form for the reply to a request for assistance Reply to a request for assistance Reference number: Date: Annexes: [Specify the number of documents/supporting documents attached] General information FROM: Member State: Requested Authority: Legal address: [Insert the contact details of the contact point designated pursuant to Article 2 of Commission Implementing Regulation (EU) 2018/292, or the person designated as contact point for dealing with this request and identified below] Name: Telephone: Email: TO: Member State: Requesting Authority: Legal address: [Insert the contact details of the designated contact point under Article 2 of Commission Implementing Regulation(EU) 2018/292 unless otherwise specified by the requesting authority] Name: Telephone: Email: Dear [Insert appropriate name] In accordance with Article 5 of Commission Implementing Regulation (EU) 2018/292, your request dated [dd.mm.yyyy] with reference [Insert request reference number] has been processed by us. Information gathered [If the information has been gathered, please set out the information here or provide an explanation of how it will be provided]

The information provided is confidential and is disclosed to [Insert name of the requesting authority] pursuant to the [Insert provision of the applicable sectoral legislation] and on the basis that the information shall remain confidential in accordance with Article 11 of Commission Implementing Regulation (EU) 2018/292 and Article 27 of Regulation (EU) No 596/2014. The [Insert name of the requesting authority] shall observe the requirements of the Article 11 of Commission Implementing Regulation (EU) 2018/292 with respect to the permissible uses of that information, and of Article 28 of Regulation (EU) No 596/2014 with respect to personal data processing and transfer. If the [Insert name of the requesting authority] intends to use or disclose information provided in this reply for a purpose different than the one stated in the request but falling under the scope of Regulation (EU) No 596/2014, [Insert name of the requesting authority] shall notify [Insert name of the requested authority] which has 10 working days to object to such use or disclosure on the grounds referred to in Article 25(2) of Regulation (EU) No 596/2014. If the [Insert name of the requesting authority] intends to use or disclose information provided in this reply for any purpose outside the scope of Regulation (EU) No 596/2014, it shall notify [Insert name of the requested authority] and, unless the exception referred to in Article 27(3) of Regulation (EU) No 596/2014 applies, shall obtain the prior consent of [Insert name of the requested authority] If [Insert name of the requested authority] consents to such a use or disclosure of the information, it may subject it to certain conditions. Yours sincerely, [Name and signature]