
Article 1 
The member of the staff of the workshop having removed or broken a tachograph seal due to vehicle repair or modification, as referred to in Article 22(5) of Regulation (EU) No 165/2014, shall complete, sign and stamp a written statement with the information laid down in the Annex to this Regulation. The original written statement shall be kept on board the vehicle, and a stamped copy shall stay in the workshop where the seal was removed or broken.
Article 2 
This Regulation shall enter into force on the twentieth day following that of its publication in the Official Journal of the European Union.
This Regulation shall be binding in its entirety and directly applicable in all Member States.Done at Brussels, 23 March 2017.
For the Commission
The President
Jean-Claude JUNCKER
ANNEX


1.. Vehicle registration number
2.. Vehicle identification number
3.. Driver name
4.. Community licence of the haulier or the carrier
5.. Workshop name
6.. Workshop address
7.. Workshop identification number
8.. Name of the member of staff responsible for the removal of the seal
9.. Number of removed seal
10.. Date and time of seal removal
11.. Reason(s) for removal
12.. Remarks

Place and date
Signature of the member of staff
Signature of the driver
