Enforcement Undertaking Form The Eco-design for Energy Related Products Regulation 2010 (SI 2010 No. 2617) The Energy Information Regulations 2011 (Statutory Instrument 2011 No. 1524) How to complete this form: Please complete Part 1, 2 and 3 (if applicable) of this form and sign the declaration in Part 4. An Enforcement Undertaking Offer should be completed by a person authorised to act on behalf of the economic operator submitting the Enforcement Undertaking Offer. Important: The National Measurement Office can accept or reject your offer in accordance with section 4.4 of the Guidance document. Further assistance: If you require any help or assistance with completing this form and/or wish to discuss your offer before submitting it, please visit our website www.gov.uk/nmo/enforcement or contact us: By telephone: 020 207 7272 By email: eup@nmo.gov.uk Important: Expert, technical and/or legal consultation may be required to complete your offer. While there is no prescribed time frame in which we are required to respond to Enforcement Undertaking offers, we will aim to do so within 28 working days of receiving the offer. Please submit your offer by sending it to: National Measurement Office Enforcement Authority Stanton Avenue Teddington Middlesex TW11 0JZ United Kingdom Or by email: eup@nmo.gov.uk Part 1- Main Offer Title: Full Name: Position: Name of Company or Organisation: Type of Company or Organisation: Company Registration Number: Full Address: Phone Number: Email: Fax: Type of offer (delete as appropriate) Proactive (For example, where you are notifying the National Measurement Office of a suspected offence.) Reactive (For example, where the National Measurement Office have notified you that we intend to initiate criminal or civil proceedings for an alleged offence.) Investigation Number: Description of alleged offence(s) for which this Enforcement Undertaking Offer is being made Date(s) of alleged offence: What type of offence has been committed? (Please provide all details relevant to the offence. This could include test reports and/or technical files etc.) Which products are affected? (Please include product codes, serial numbers and number of units affected if known) Where in the distribution chain are these products? What is the approximate financial value of the affected product(s)? How did the alleged offence(s) occur? Have you fully assessed the impact from the alleged offence(s) and produced a business improvement plan? (If so, please provide evidence including any associated documents) Have attempts been made to remedy or address the alleged offence? Part 2 – Enforcement Undertaking Offer (please refer to Section 7.3 of guidance before completing this form) Proposed actions to address/remedy the alleged offence(s) making the actions quantifiable and giving an indication of dates when these actions will be completed. Costs (actual or estimated) of completing these actions. Other (please provide any further information that you feel is relevant to this Enforcement Undertaking offer). Part 3 – Third Party Undertaking (If applicable - Please refer to Section 7.1 & 7.3 of guidance before completing this form) Proposed actions to address/remedy the alleged offence(s) making the actions quantifiable and giving an indication of dates when these actions will be completed. Costs (actual or estimated) of completing these actions. Other (please provide any further information that you feel is relevant to this Third Party Undertaking offer). For National Measurement Office Enforcement Authority Use Only: Box A – Only complete this box if the offer is accepted The National Measurement Office Enforcement Authority has reasonable grounds to suspect that you have committed the following offence and hereby accepts this undertaking in relation to that offence: Offence: (Please specify legislation, section/regulation number and brief particulars) Box B – Only complete this box if the offer is rejected The National Measurement Office Enforcement Authority has considered your offer in accordance with our published guidance and hereby rejects your offer for the reasons detailed below: Reasons for rejection: (please specify why the offer has been rejected e.g. Enforcement Undertaking not available for this offence, prosecution is more appropriate etc.) Date: Full Name: Signed: Director of Enforcement, National Measurement Office Part 4: Declaration Important This declaration must be read and signed by any person authorised to act on behalf of the economic operator submitting this enforcement undertaking offer. I understand that making this offer does not constitute an admission of guilt for any alleged offence(s) to which it relates. I understand that the National Measurement Office may reject this offer and I do not have a right of appeal against such a decision. I understand that if this enforcement undertaking is accepted by the National Measurement Office, I may not at any time be convicted of the alleged offence(s) to which this undertaking relates or have a fixed monetary penalty, variable monetary penalty, compliance notice, or stop notice imposed on me, unless I fail to comply in full with this enforcement undertaking. I understand that if I fail to comply with the undertaking or any part of it, I may be prosecuted for the alleged offence(s) or have a variable monetary penalty notice, stop notice or compliance notice imposed on me. I understand that I may be required to provide the National Measurement Office with sufficient information to determine that the undertaking has been complied with. I understand that if at any time I am found to have given inaccurate, misleading or incomplete information in relation to this undertaking, it will be rejected or if previously accepted, I will be regarded as not having complied with it and any compliance certificate previously issued will be revoked. I understand that if this enforcement undertaking offer is accepted, the National Measurement Office may publish it in whatever manner it sees fit. I understand that this enforcement undertaking will remain in force until such a time as the National Measurement Office has issued me with a compliance certificate or I have been notified in writing that I have failed to comply with it. I understand that by accepting this enforcement undertaking the National Measurement Office’s powers to investigate future cases of non-compliance or bring criminal or civil proceedings with regard to future cases of non-compliance are not affected. Date: Full Name: Signed: