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EUROPEAN REPAIR INFORMATION FORM Part I Identity and contact details of the repairer providing the repair service Repairer [Identity] Address [Geographical address to be used by the consumer] Telephone number Email address If provided by the repairer, other means of online communication, which enable the consumer to contact, and communicate with, the repairer quickly and efficiently Part II Information on the repair service

Good to be repaired [Identification of the good] Nature of the defect [Description of the defect] Type of repair suggested [What kind of measures will be taken to repair the defect] Price for repair or, if it cannot be calculated, the applicable calculation method and maximum price of repair [This means the total amount or, if not possible, the calculation method and the ceiling for the repair service, in EUR/national currency] Time to complete repair [Time by which the repairer undertakes to perform the service in days] Availability of temporary replacement goods [A temporary replacement good means that the consumer will receive an equivalent good for use during the time of repair, the repairer has to indicate ‘Yes’ or ‘No’] If yes, indicate the corresponding costs, if any: [In EUR/national currency] Place to hand over the goods [The place where the consumer hands over the goods for repair] If applicable, the availability of ancillary services [Indicate if and to which extent ancillary services such as removal, installation and transportation are offered, or ‘None’ if no ancillary service is offered for the repair concerned] If yes, indicate the corresponding costs, if any: [In EUR/national currency, per service offered] The period of validity of the European Repair Information Form [Period of validity of at least 30 days] If applicable, additional information

Indications between square brackets provide explanations for the repairer and must be replaced with the corresponding information.