{
  "url": "https://openlegislation.uk/eu-regulation-2015-504/annex-V/appendix-5",
  "json_url": "https://openlegislation.uk/eu-regulation-2015-504/annex-V/appendix-5.json",
  "legislation": "eur/2015/504",
  "legislation_title": "Commission Implementing Regulation (EU) 2015/504 of 11 March 2015 implementing Regulation (EU) No 167/2013 of the European Parliament and of the Council with regard to the administrative requirements for the approval and market surveillance of agricultural and forestry vehicles (Text with EEA relevance)",
  "legislation_url": "https://openlegislation.uk/eu-regulation-2015-504",
  "path": "annex/V/appendix/5",
  "kind": "appendix",
  "number": "5",
  "heading": null,
  "text": "Model of the EU type-approval certificate for a separate technical unit or component\nEU TYPE-APPROVAL CERTIFICATE\nMODEL D\n(to be used for component/separate technical unit type-approval)\nEU TYPE-APPROVAL CERTIFICATE\nStamp of approval authority\nCommunication concerning:\nEU type-approval (1)\nextension of EU type-approval (1)\nrefusal of EU type-approval (1)\nwithdrawal of EU type-approval (1)\nof a type of component/separate technical unit (1) (0)\nwith regard to Annex(es) … (5) to Commission Delegated Regulation (EU) (No) (1) …/… (and Annex(es) … (5) to Commission Delegated Regulation (EU) (No) (1) …/…) (1), as last amended by (Commission Delegated) (1) Regulation (EU) …/… (1) (6) (of the European Parliament and of the Council) (1)\nEU type-approval number (1): …\nReason for extension/refusal/withdrawal (1): …\nSECTION I\n2.1.\nMake(s) (trade name(s) of manufacturer): …\n2.2.\nType ( 7 ): …\n2.2.1.\nCommercial name(s) (if available): …\n2.3.\nCompany name and address of the manufacturer: …\n2.3.1.\nName(s) and address(es) of assembly/manufacture plant(s): …\n2.3.2.\nName and address of the manufacturer's representative (if any): …\n2.4.\nIn the case of separate technical unit, vehicle(s) for which is intended for (6):\n2.4.1.\nType (2) …\n2.4.2.\nVariant(s) (2): …\n2.4.3.\nVersion(s) (2): …\n2.4.4.\nCommercial name(s) (if available): …\n2.4.5.\nCategory, subcategory and speed index of vehicle (3): …\n2.6.\nLocation and method of attachment of the type-approval mark: …\nSECTION II\n1.\nTechnical service responsible for carrying out the tests: …\n2.\nDate of test report: …\n3.\nNumber of test report: …\nSECTION III\nThe undersigned hereby certifies the accuracy of the manufacturer's description in the attached information document of the type of component/separate technical unit (1) (0) described above, for which one or more representative samples, selected by the EU type-approval authority, have been submitted as prototypes of the type of (0) … and that the attached test results apply to the type of (0) …\n1.\nThe type of component/separate technical unit (1) (0) meets/does not meet (1) the technical requirements of the relevant regulatory acts.\n2.\nThe approval is granted/extended/refused/withdrawn (1)\n2.1.\nThe approval is granted in accordance with Article 35 of Regulation (EU) No 167/2013 and the validity of the approval is thus limited to dd/mm/yyyy ( 4 ).\n3.\nRestrictions of validity (1) (4): …\nPlace: …\nDate: …\nName and signature (or visual representation of an ‘advanced electronic signature’ according to Directive 1999/93/EC of the European Parliament and of the Council, including data for verification): …\nAttachments:\nInformation package\nTest report\nNB:\nIf this model is used for type-approval of a component or separate technical unit as an exemption for new technology or new concept, pursuant to Article 35 of Regulation (EU) No 167/2013, the heading of the certificate shall read ‘EU PROVISIONAL TYPE-APPROVAL CERTIFICATE VALID ONLY ON THE TERRITORY OF … (3)’, The provisional type-approval certificate shall also specify the restrictions that have been imposed as to its validity in accordance with Article 25(4) of Regulation (EU) No 167/2013.\nExplanatory notes relating to Appendix 5\n(Footnote markers, footnotes and explanatory notes not to be stated on the EU type-approval certificate for a separate technical unit or component):\n(0)\nIndicate the component/separate technical unit according to first column of Table 6-1 of Annex VI to this Regulation (e.g. roll-over protective structure (ROPS) (dynamic testing)).\n(1)\nDelete where not applicable.\n(2)\nIndicate the alphanumeric code Type-Variant-Version or ‘TVV’ allocated to each type, variant and version as set out in point 2.3 of Part B of Annex I to this Regulation. For the identification of variant and versions it may be employed the matrix set out in point 2.3 of Part B of Annex I to this Regulation.\n(3)\nIndicate the Member State.\n(4)\nApplicable only for type-approval of a component or separate technical unit as an exemption for new technology or new concept, pursuant to Article 35 of Regulation (EU) No 167/2013\n(5)\nThe Roman numeral of the relevant Annex to the Commission Delegated Regulation or multiple Roman numerals of the relevant Annexes to the same Commission Delegated Regulation.\n(6)\nProvide this information for each vehicle type.\n(7)\nIndicate the engine type designation or, in case of engine types within an engine family, the Family Type (FT) in accordance with point 4 of Part B of Annex I to Commission Implementing Regulation (EU) 2017/656.",
  "extent": "E+W+S+N.I.",
  "status": null,
  "version": "current",
  "annotations": [
    {
      "type": "F",
      "label": "F1",
      "text": "Substituted by Commission Implementing Regulation (EU) 2018/986 of 3 April 2018 amending Implementing Regulation (EU) 2015/504 as regards the adaptation of the administrative provisions for the approval and market surveillance of agricultural and forestry vehicles to Stage V emission limits (Text with EEA relevance)."
    },
    {
      "type": "F",
      "label": "F2",
      "text": "Substituted by Commission Implementing Regulation (EU) 2016/1789 of 7 September 2016 amending Implementing Regulation (EU) 2015/504 with regard to the administrative requirements for the approval and market surveillance of agricultural and forestry vehicles (Text with EEA relevance)."
    },
    {
      "type": "F",
      "label": "F3",
      "text": "Inserted by Commission Implementing Regulation (EU) 2018/986 of 3 April 2018 amending Implementing Regulation (EU) 2015/504 as regards the adaptation of the administrative provisions for the approval and market surveillance of agricultural and forestry vehicles to Stage V emission limits (Text with EEA relevance)."
    }
  ],
  "outstanding_effects": [],
  "provenance": {
    "source": "legislation.gov.uk",
    "source_url": "https://www.legislation.gov.uk/eur/2015/504/annex/V/appendix/5",
    "retrieved_at": "2026-11-01T14:46:46.437269+00:00"
  },
  "licence": "Open Government Licence v3.0",
  "licence_url": "https://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/",
  "attribution": "Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives."
}