# ANNEX IV — FORM FOR UNSOLICITED PROVISION OF INFORMATION **Commission Implementing Regulation (EU) 2024/2545 · binding · OJ L, 2024/2545, 26.11.2024 · dated 24 Sep 2024 [in force]** *In force · Commission Implementing Regulation (EU) 2024/2545, OJ L, 2024/2545, 26.11.2024 · Checked against EUR-Lex on 26 Oct 2026 · [Official source](https://eur-lex.europa.eu/eli/reg_impl/2024/2545/oj/eng)* #### Unsolicited provision of information Reference number:\ Date:\ **FROM**\ Member State:\ Competent Authority:\ Address:\ (Contact details of the contact point)\ Name:\ Telephone:\ Email:\ **TO**\ Member State:\ Competent Authority:\ Address:\ (Contact details of the contact point)\ Name:\ Telephone:\ Email:\ Dear \[_insert appropriate name_],\ In accordance with Article 10, 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 here, 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 competent authority receiving the information_] pursuant to [Article 95](../../articles/95.md) of Regulation (EU) 2023/1114 of the European Parliament and of the Council and on the basis that the information shall remain confidential in accordance with Article 11 of this Regulation and [Article 100](../../articles/100.md) of Regulation (EU) 2023/1114.\ The \[_insert name of the competent authority receiving the information_] shall observe the requirements of the Article 11 with respect to the permissible uses of that information, and of [Article 101](../../articles/101.md) of Regulation (EU) 2023/1114 with respect to personal data processing and transfer. In particular, the relevant competent authorities shall ensure that all relevant information on the processing of personal data is provided to data subjects in accordance with Section 2 ‘Information and access to personal data’ of Chapter III ‘Rights of the data subject’ of Regulation (EU) 2016/679 of the European Parliament and of the Council.\ Where the \[_insert name of the competent authority receiving the information_] intends to use or disclose information provided in this reply for purposes different than those stated in Article 11(3), it shall notify \[_insert name of the competent authority providing the information_] and, unless the exception referred to in [Article 100(2)](../../articles/100.md) of Regulation (EU) 2023/1114 applies, shall obtain the prior consent of \[_insert name of the competent authority providing the information_]. Where \[_insert name of the competent authority providing the information_] consents to such use or disclosure of the information, it may subject it to certain conditions.\ Yours sincerely,\ \[_signature_]