Division SECTION 1 Template for transmitting the relevant information and requesting of issuance of a reasoned opinion

[Name of the competent authority responsible for assessing the application for authorisation]

Contact details of the competent authority responsible for assessing the application for authorisation

Name of person(s) responsible for further contacts:

Function:

Telephone number:

Email address:

Done at …on [insert date] …

On behalf of [Name of competent authority responsible for assessing the application for authorisation],

[signature]

The list of Addressees, including authorities entitled to issue a reasoned opinion:

1. 1..

   [Competent Authority to list the Authorities referred to in Article 55(4) of Regulation (EU) No 909/2014]