TEMPLATE — DATA ACCESS AND TRANSMISSION REQUEST
Legal basis: Regulation (EU) 2023/2854 (the "Data Act"), Articles 4 and 5
Version 0.1 — 2026-08-22 — provided as is, without warranty; this is not
legal advice. Have it reviewed by counsel before any contentious use.

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[Your legal entity name]
[Address]
[Contact e-mail]

To: [Data holder — legal entity]
[Where applicable: its representative in the European Union]
[Address / legal point of contact]

Sent by: [qualified electronic registered delivery / registered mail]
Date: [date]

Subject: Request for access to data and for making data available to a
third party — Regulation (EU) 2023/2854, Articles 4 and 5

Dear Sir or Madam,

[Your legal entity name] is a user, within the meaning of Article 2 of
Regulation (EU) 2023/2854, of the following connected product(s), of which
you are the data holder:

  - Product: [make, model]
  - Serial number: [no.]
  - Associated account: [account identifier, if any]
  - [Repeat for each product, or attach the inventory as an annex]

Pursuant to Article 4 of the Regulation, we request access to the data
generated by the use of these products, together with the metadata necessary
to interpret them, without undue delay, free of charge, and of the same
quality as is available to you.

Pursuant to Article 5, we request that you make these data available to the
following third party, which we hereby designate:

  Third-party recipient: [legal entity name]
  Technical contact: [e-mail]

The data shall be made available continuously and in real time where
technically feasible.

We kindly ask you to inform us, within fifteen days, of:
  1. the technical arrangements for access you propose (interface, format,
     frequency);
  2. the point of contact in charge of this request;
  3. where applicable, any conditions you intend to apply under Article 9
     (compensation), which must be reasonable, non-discriminatory and
     justified.

Failing a response, we will document the silence and reserve the right to
pursue the remedies provided for by the Regulation, including referral to
the competent authority.

Yours faithfully,

[Name, capacity, signature]

Annexes: [fleet inventory; proof of user status — invoice, lease agreement;
third-party recipient mandate where applicable]