ANNEX III

Form for reply to request for consultation

Reply to a request for consultation under Article 84 of Directive 2014/65/EU Reference number: Date: FROM: Member State: Competent authority receiving the request: Legal address: (Contact details of the contact point) Name: Telephone: Email: TO: Member State: Requesting competent authority: Address: (Contact details of the contact point) Name: Telephone: Email: Dear [insert appropriate name] In accordance with Article 84 of Directive 2014/65/EU, we examined your consultation request dated [dd.mm.yyyy] with reference [insert reference number]. Where relevant, please explain any clarification you may require in relation to the information requested or to any other aspect of the relevant authorisation procedure: If the information requested has been gathered, please provide that information here or explain how it will be provided, or make reference to the relevant annexes containing the information requested:

If there is any other relevant or essential information, please provide that information here or explain how it will be provided, or make reference to the relevant annexes containing that information: [please provide any other essential information that could influence the granting of the authorisation] Confidentiality [please insert any necessary confidentiality warnings or any necessary restrictions on the permissible uses of information (in compliance with Union law)]. Yours sincerely, [signature]