{"release":{"id":"a4f2a0495fe55b47323883f82977a9b34ab66171ec9623e39925d3a7045b6c81","published":"2026-11-01T16:41:30Z","pinned":false},"limits":{"coverage":{"history":"current_only","held_since":"2026-10-26","gaps":[],"covered":["2025/304 — ITS — Financial Entity Notification [in force] L2"],"not_covered":["national guidance","court decisions"]},"freshness":{"release_id":"a4f2a0495fe55b47323883f82977a9b34ab66171ec9623e39925d3a7045b6c81","release_published":"2026-11-01T16:41:30Z","checked_at":"2026-10-26","checked_against":"EUR-Lex"},"truncation":null,"failures":[],"incomplete":[]},"page":{"path":"/mica/level-2/its/implementing-technical-standards-standard-forms-templates-procedures-notification-certain-financial/annexes/annex","url":"https://www.headlesslaw.com/mica/level-2/its/implementing-technical-standards-standard-forms-templates-procedures-notification-certain-financial/annexes/annex","title":"ANNEX — Form for the notification of information to be provided by certain financial entities","family":"l2_unit_view","work_id":"mica/level-2/its/implementing-technical-standards-standard-forms-templates-procedures-notification-certain-financial-entities-crypto-asset-services","view_of":"/mica/level-2/its/implementing-technical-standards-standard-forms-templates-procedures-notification-certain-financial","status":"in_force","force_status":"in_force","date_state":"current","requested_date":null,"as_of":"2026-11-02","applies_from":null,"application":null,"version_label":"Commission Implementing Regulation (EU) 2025/304, OJ L, 2025/304, 20.2.2025","check":{"against":"EUR-Lex","on":"2026-10-26"},"check_result":"matched","official_url":"https://eur-lex.europa.eu/eli/reg_impl/2025/304/oj/eng","valid_from":"2025-03-12","valid_until":null,"content_id":"30a48d191b9626ea","versions":["2025-03-12"],"version_url":"https://www.headlesslaw.com/mica/level-2/its/implementing-technical-standards-standard-forms-templates-procedures-notification-certain-financial/annexes/annex/versions/2026-10-26","revision_url":"https://www.headlesslaw.com/mica/level-2/its/implementing-technical-standards-standard-forms-templates-procedures-notification-certain-financial/annexes/annex/versions/2026-10-26/rev/30a48d191b9626ea","versions_url":"https://www.headlesslaw.com/mica/level-2/its/implementing-technical-standards-standard-forms-templates-procedures-notification-certain-financial/annexes/annex/versions","relations_url":"https://www.headlesslaw.com/mica/level-2/its/implementing-technical-standards-standard-forms-templates-procedures-notification-certain-financial/annexes/annex/relations","act_url":"https://www.headlesslaw.com/mica/level-2/its/implementing-technical-standards-standard-forms-templates-procedures-notification-certain-financial#annex","source_line":"Commission Implementing Regulation (EU) 2025/304 · binding · OJ L, 2025/304, 20.2.2025 · dated 31 Oct 2024 [in force]","attribution":{"prepared_by":"European Commission","published_by":"Publications Office of the EU","published_in":"Official Journal of the European Union","document_type":"implementing_regulation","legal_nature":"binding_adopted","addressees":"not stated in the document","dates":{"document_date":"2024-10-31","published_on":"2025-02-20","entry_into_force":"2025-03-12","locators":{"document_date":"CELLAR 32025R0304 work_date_document","published_on":"CELLAR 32025R0304 official-journal-act_date_publication","entry_into_force":"CELLAR 32025R0304 resource_legal_date_entry-into-force (earliest)"}},"adoption":null},"context":{"act":{"work_id":"mica/level-2/its/implementing-technical-standards-standard-forms-templates-procedures-notification-certain-financial-entities-crypto-asset-services","path":"/mica/level-2/its/implementing-technical-standards-standard-forms-templates-procedures-notification-certain-financial","name":"Commission Implementing Regulation (EU) 2025/304","number":"2025/304","celex":"32025R0304","title_official":"COMMISSION IMPLEMENTING REGULATION (EU) 2025/304 of 31 October 2024 laying down implementing technical standards for the application of Regulation (EU) 2023/1114 of the European Parliament and of the Council with regard to standard forms, templates and procedures for the notification by certain financial entities of their intention to provide crypto-asset services (Text with EEA relevance)","document_date":"2024-10-31"},"position":{"kind":"annex","key":"annex","index":1,"articles":5,"annexes":1},"prev":{"path":"/mica/level-2/its/implementing-technical-standards-standard-forms-templates-procedures-notification-certain-financial/articles/5","key":"5","title":"Article 5 — Entry into force"},"next":null,"act_anchor":"#annex"}},"provenance":{"official_url":"https://eur-lex.europa.eu/eli/reg_impl/2025/304/oj/eng","check":{"result":"matched","checked_at":"2026-10-26","against":"EUR-Lex"},"repo_path":"mica/level-2/its/implementing-technical-standards-standard-forms-templates-procedures-notification-certain-financial-entities-crypto-asset-services.md","unit_text_sha256":"f9ca431bcd0f363acf03dfbc008bf9b1fb7175e185c4c057893db9f0fff702d9","note":"the unit is a byte-exact part of the act page, whose check record covers it"},"unit":{"locator":"mica/level-2/its/implementing-technical-standards-standard-forms-templates-procedures-notification-certain-financial-entities-crypto-asset-services/annex","kind":"annex","key":"annex","heading":"ANNEX — Form for the notification of information to be provided by certain financial entities","text":"### ANNEX — Form for the notification of information to be provided by certain financial entities\n\nIn accordance with Articles 2 and 4 of Commission Implementing Regulation (EU) 2025/304 of 31 October 2024, laying down implementing technical standards for the application of Regulation (EU) 2023/1114 of the European Parliament and of the Council with regard to standard forms, templates and procedures for the notification of certain financial entities of their intention to provide [crypto-asset services](https://www.headlesslaw.com/definitions/mica/crypto-asset-service), kindly find attached our notification of our intention to provide crypto-asset services.\n\n_Reference number (to be completed by the competent authority):_\n\nDate:\n\nFROM\n\nName of the notifying entity:\n\nNational reference number:\n\nAddress of the notifying entity:\n\nContact details of designated contact person:\n\nName:\n\nTelephone:\n\nEmail:\n\nTO\n\nMember State (if applicable):\n\nCompetent authority:\n\nAddress:\n\nContact details of the designated contact point:\n\nName:\n\nTelephone:\n\nEmail:\n\n\\[We,] \\[notifying entity,] declare that the submitted information is accurate, complete and up-to-date. If some information relates only to a future date, it is explicitly identified in the notification and we undertake to notify the authority in writing without delay if any such information should turn out to be inaccurate, incomplete or misleading. Further, we undertake to inform the competent authority of any change concerning the information provided in this form.\n\n— Person in charge of preparing the notification:\n\nName:\n\nStatus/position:\n\nTelephone:\n\nEmail:\n\nREQUIRED INFORMATION\n\n_Programme of operations_\n\n...\n\nPlease insert the information referred to in Article 1 of Delegated Regulation (EU) 2025/303, by setting out that information here or making reference to the relevant sections of the notification.\n\n_Business continuity_\n\n...\n\nPlease insert the information referred to in Article 2 of Delegated Regulation (EU) 2025/303, by setting out that information here or making reference to the relevant sections of the notification.\n\n_Detection and prevention of_ _money laundering_ _and_ _terrorist financing_\n\n...\n\nPlease insert the information referred to in Article 3 of Delegated Regulation (EU) 2025/303, by setting out that information here or making reference to the relevant sections of the notification.\n\n_ICT systems and related security arrangements_\n\n...\n\nPlease insert the information referred to in Article 4 of Delegated Regulation (EU) 2025/303, by setting out that information here or making reference to the relevant sections of the notification.\n\n_Segregation of clients’ crypto-assets and_ [_funds_](https://www.headlesslaw.com/definitions/mica/funds)\n\n...\n\nPlease insert the information referred to in Article 5 of Delegated Regulation (EU) 2025/303, by setting out that information here or making reference to the relevant sections of the notification.\n\n_Custody and administration policy_\n\n...\n\nPlease insert the information referred to in Article 6 of Delegated Regulation (EU) 2025/303, by setting out that information here or making reference to the relevant sections of the notification.\n\n_Operating rules of the trading platform and market abuse detection_\n\n...\n\nPlease insert the information referred to in Article 7 of Delegated Regulation (EU) 2025/303, by setting out that information here or making reference to the relevant sections of the notification.\n\n[_Exchange of crypto-assets for funds_](https://www.headlesslaw.com/definitions/mica/exchange-of-crypto-assets-for-funds) _or other crypto-assets_\n\n...\n\nPlease insert the information referred to in Article 8 of Delegated Regulation (EU) 2025/303, by setting out that information here or making reference to the relevant sections of the notification.\n\n_Execution policy_\n\n...\n\nPlease insert the information referred to in Article 9 of Delegated Regulation (EU) 2025/303, by setting out that information here or making reference to the relevant sections of the notification.\n\n_Provision of advice or portfolio management on crypto-assets_\n\n...\n\nPlease insert the information referred to in Article 10 of Delegated Regulation (EU) 2025/303, by setting out that information here or making reference to the relevant sections of the notification.\n\n_Transfer services_\n\n...\n\nPlease insert the information referred to in Article 11 of Delegated Regulation (EU) 2025/303, by setting out that information here or making reference to the relevant sections of the notification.\n\n\\[_signature of legal representative_]\n\n","marks":[],"text_hash":"f9ca431bcd0f363acf03dfbc008bf9b1fb7175e185c4c057893db9f0fff702d9","revision":1}}