4 Annex A – Relying Party Compliance Statement for Interoperability with GOV.UK Verify This statement MUST be completed and signed by the Senior Information Risk Owner (or his/her representative) responsible for the system that will be onboarded with GOV.UK Verify. Name of Organisation: ______________________________________________________ Relying Party Service to be onboarded with GOV.UK Verify (and covered by this compliance statement) ____________________________________________________________________________ ____________________________________________________________________________ It is understood and accepted that: ● The organisation shall comply with the Code of Interoperability at all times and shall inform the GOV.UK Operations Team should a ‘significant’ non­compliance occur. ● The organisation accepts that failure to comply with the Code of Interoperability may result in their access to GOV.UK Verify being terminated (in extreme circumstances) ● Confirmation of continued compliance shall be required at twelve­monthly intervals. Post: _____________________________________________________ Name: _____________________________________________________ Signed: _____________________________________________________ Date: _____________________________________________________ Approval to interoperate with GOV.UK Verify: Post: On behalf of the GOV.UK Engagement Team Name: _____________________________________________________ Signed: _____________________________________________________ Date: _____________________________________________________ Identity Assurance Programme/Verify/Code­of­Interoperability DRAFT FOR DISCUSSION 24 May 2016 Page 19 of 22