ANNEX V — EU DECLARATION OF CONFORMITY

Cyber Resilience Act · Annex

The EU declaration of conformity referred to in Article 28, shall contain all of the following information:

  • 1.

    Name and type and any additional information enabling the unique identification of the product with digital elements

  • 2.

    Name and address of the manufacturer or its authorised representative

  • 3.

    A statement that the EU declaration of conformity is issued under the sole responsibility of the provider

  • 4.

    Object of the declaration (identification of the product with digital elements allowing traceability, which may include a photograph, where appropriate)

  • 5.

    A statement that the object of the declaration described above is in conformity with the relevant Union harmonisation legislation

  • 6.

    References to any relevant harmonised standards used or any other common specification or cybersecurity certification in relation to which conformity is declared

  • 7.

    Where applicable, the name and number of the notified body, a description of the conformity assessment procedure performed and identification of the certificate issued

  • 8.

    Additional information:

    Signed for and on behalf of:

    (place and date of issue):

    (name, function) (signature):