CONFIDENTIAL                                                                Case No: 

QUARTERLY COMMUNICATION OF IRREGULARITIES IN CONNECTION WITH
THE PRE-ACCESSION ASSISTANCE

IDENTIFICATION OF COMMUNICATION

Applicant Country: 
Case Number: 
Quarter: 
Date Sent: 
Administrative Department in Applicant Country: 
Contact Point: 				        	Name: 	
							Phone: 
Fax:
e-mail: 

DETAILS OF IRREGULARITY

1. Description of Operation

1.1 Name of programme: 

1.2 Commission Decision approving the programme: 

1.3 Name of measure and title of project: 

1.4 Applicant country’s project number: 

2. Provision Infringed

2.1 Community provision infringed: 

2.2 National provision infringed: 

3. Date of First Information Leading to Suspicion of Irregularity: 

3.1 Source of first information leading to suspicion of irregularity:

4. Manner in which Irregularity was discovered:

5. Type of Irregularity:
5.1 Qualification of Irregularity:
        (a) Irregularity (x)
        (b) Suspected Fraud ( )
5.2 Practices employed in committing the irregularity:
.

5.3 Are these practices considered new? Yes ( ) No (x)

5.4 If yes, has notification been sent under Section F - 7.4 of the Multi-Annual
Financing Agreement?

6. Are other Countries involved? Yes ( ) No (x)

6.1 If yes, has notification been sent?
      Yes ( ) Date and reference: No ( ) Not known ( )

7. Period of Irregularity

7.1 Date on which, or dates between which, the irregularity was committed:

8. Authorities or Bodies

8.1 Authorities or bodies which drew up the official report on the irregularity:

8.2 Authorities or bodies responsible for administrative or judicial follow-up:

9. Date on which the Official Report on the Irregularity was drawn up:

10. Name and Address of Natural and Legal Persons Involved

10.1 Natural Persons:
- Name:
- First Name:
- Address:
- Postal Code:
- City:
- Country:
- Function:

10.2 Legal Persons:
- Name: 
- Registered Office: 
- Postal Code: 
- Country: 

FINANCIAL ASPECTS
11. Total Amount and Distribution between Sources of Financing

11.1 Total amount of the operation: 

11.2 Community financing: 

11.3 Applicant country financing: 

11.4 Private financing: 

12. Nature and Amount of the Expenditure Found to be Irregular
12.1 Nature of the expenditure: advance payments

12.2 Total amount of the expenditure: 

12.3 Community expenditure: 

12.4 Applicant country expenditure: 

12.5 Private expenditure: 

13. Amount which would have been wrongly paid if the Irregularity had not
been discovered:

14. Financial consequences

14.1 Amount of expenditure under 12.2 not yet paid:

14.2 Amount EU:

14.3 Amount of Applicant country:

14.4 Has payment been suspended? Yes ( ) No ( ) Not known ( )

15. Possibility of Recovery: 

16. Total Amount Recovered: 
16.1 Community share: 

16.2 Applicant country share: 

17. Total Amount to be Recovered: 

17.1 Community share: 

17.2 Applicant country share: 

18. Date of Special Report in accordance with Section F – 7.5.2 of the Multi-
Annual Financing Agreement: n/a

STAGE OF PROCEDURES

19. Action by Applicant country
19.1 Interim measures:

20. Administrative Proceedings: 

21. Judicial Proceedings:

22. Reasons for any abandonment of recovery proceedings: n/a

22.1 Was the Commission notified before the decision to abandon the recovery
procedure was taken?
        Yes ( ) Date and reference: No ( ) Not known ( )

23. Have criminal proceedings been abandoned? n/a
      Yes ( ) No ( ) Not known ( )

24. Termination of Procedures n/a
24.1 Has the Commission been notified of administrative or judicial decisions or the
main points thereof, concerning termination of proceedings in accordance with
Section F – 7.5.1 of the Multi-Annual Financing Agreement:
     Yes ( ) Date and reference: No ( ) Not known ( )

25. Penalties imposed (administrative and/or judicial): n/a

26. Additional observations: n/a

Prepared by:
		Approved by:
		
Office:
		Office:
		
Signature:
		Signature:
		
Date:
		Date:

Checked by:
		Approved by:
		
Office:
		Office:
		
Signature:
		Signature:
		
Date:
		Date: