End of Series Derogation Application Form
(M & N vehicles)
Use this form to apply for an End of Series derogation to be granted against one of the following EU Regulatory
Acts. Complete all relevant fields and email the form to vehiclestandards@rsa.ie.
Ensure that at the time of application you hold EC Certificates of Conformity (EC CoC) for all of the vehicles
concerned. Note: You can only apply for an End of Series derogation for a vehicle which has held a valid CoC
for three months prior to the date of the new regulation coming into being. The RSA reserve the right to seek
copies (or originals) of these EC CoC’s.
Place an ‘X’ in the box beside the Regulation you wish to apply for. Only ONE Regulation can
be chosen per vehicle.
X
Regulation
Description
End of Series Derogation Expires
Single Stage Build
Multi stage Build
October 2015
April 2016
EC/661/2009
Gear Shift Indicators (GSI)
Electronic Stability Control (ESC)
Tyre Fitment
EU/523/2012 Tyre Pressure Monitoring System (TPMS)
October 2015
April 2016
EU/407/2011 Mandatory compliance with UNECE
October 2015
April 2016
Regulations
EU/1230/2012 Masses & Dimensions
October 2015
April 2016
EU/166/2015 Indirect Vision (M & N Categories)
June 2016
December 2016
EC/661/2009
Electronic Stability Control (ESC)
July 2016
January 2017
EC/78/2009
Pedestrian Protection
August 2016
February 2017
EC/692/2008
Light Duty Emissions (letters J, K, T)
August 2016
February 2017
EC/347/2012
Advanced Emergency Braking Systems (AEBS)
October 2016
April 2017
EC/351/2012
Lane Departure Warning Systems (LDWP)
October 2016
April 2017
EU/1171/2014 CoC Format Changes
December 2016
June 2017
& EU/45/2015
EC/661/2009
Electronic Stability Control (ESC)
July 2017
January 2018
EC/692/2008
Light Duty Emissions (Letters L,M,U,V)
August 2017
February 2018
* See your Engine Approval(s) and look for the letter (usually in the middle of the Engine Approval Number (e.g.
e2*715/2007*692/2008F*10493*03). This applies to Light Duty Emission Regulations only.
1. Vehicle Manufacturer / Converter
Make (Trade Name of
Manufacturers/Converters)
Vehicle Type
Name and Address of
Manufacturer/Converter
Address of Assembly Plant
1
November 2015
End of Series Derogation Application Form
(M & N vehicles)
2. State the economic and/or technical reason for making this application
3. A Vehicle List, which must be submitted SEPARATELY on an Excel Spread Sheet, can be
Downloaded here, and must contain the following information;
Make
Model
Type Approval
No
VIN
Date of
Production Base
Vehicle
Light Duty
Emissions
ONLY
Engine
Letter
Stage S=Single
M=Multi
IMPORTANT – Submit SEPARATE excel spread sheets for single and multistage builds
4. Number of Vehicles Involved
Number of vehicles applied for
5. Declaration and Applicant Signature
DECLARATION: I declare that all the information provided in this form and in the Vehicle List spread sheet is
accurate. I also declare that I hold a valid Certificate of Conformity for all of the vehicles which were issued on or
after the date of manufacture and which remained valid for at least 3 months after its date of issue, but
subsequently lost its validity due to the entry into force of a regulatory act.
Applicant’s Name
(Printed)
Applicant’s Signature
(Digital Image Accepted)
Signed on behalf of
(Name of Manufacturing Company
i.e. Brand Name)
Date
2
November 2015
End of Series Derogation Application Form
(M & N vehicles)
Name and Address of Contact to whom End of Series Derogation will issue:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
6.
Email Address: _________________________________________
Offences and Penalties
Under Statutory Instrument 157 of 2009 the following offences and penalties apply
Offences
12. (1) A person commits an offence if, in supplying information or producing a document for the purpose of these
Regulations, he or she:
(a) makes a statement which that person knows to be false in a material particular or recklessly makes a
statement which is false in a material particular,
or
(b) produces, provides, sends or otherwise makes use of a document which that person knows to be false in a
material particular or recklessly produces, provides or sends or otherwise makes use of a document
which is false in a material particular.
Penalties
(3) (a) An offence under these Regulations may be prosecuted summarily or on indictment.
(b) A person guilty of an offence under these Regulations is liable:
(i) on summary conviction, to a fine not exceeding €5,000 or to imprisonment for a term not exceeding
6 months or both, and
(ii) on conviction on indictment, to a fine not exceeding €100,000 or imprisonment for a term not exceeding
12 months or both.
3
November 2015