# ANNEX IV — Form for provision of unsolicited exchange of information **Commission Implementing Regulation (EU) 2024/2494 · binding · OJ L, 2024/2494, 25.9.2024 · dated 24 Sep 2024 [in force]** *In force · Commission Implementing Regulation (EU) 2024/2494, OJ L, 2024/2494, 25.9.2024 · Checked against EUR-Lex on 26 Oct 2026 · [Official source](https://eur-lex.europa.eu/eli/reg_impl/2024/2494/oj/eng)* #### 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](../../articles/100.md) 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](../../articles/101.md) of Regulation (EU) 2023/1114 with respect to the processing and transfer of personal data.\ Yours sincerely,\ \[signature]