Annex III Form referred to in Article 1(4)

The form for request for notification pursuant to Article 13(1) and 13(2) of Directive 2011/16/EU and their responses pursuant to Article 13(3) of that Directive contains the following fields^f1:

• Legal basis

• Reference number

• Date

• Identity of the requesting and requested authorities

• Name and address of the addressee of the instrument or decision

• Other information which may facilitate the identification of the addressee

• Subject of the instrument or decision

• Response of the requested authority, in accordance with Article 13(3) of Directive 2011/16/EU, including the date of notification of the instrument or decision to the addressee.