1. CASE ID

1.1. Member State

1.2. Serial number (format CC/YYYY/NNNNNN/V)

1.3. Year and quarter of discovery or establishment (format: yyyy/q)

1.4. Department or agency which made the establishment or detected the case

1.5. Date of transmission (format: dd/mm/yyyy)

1.6. Status

2. CASE DESCRIPTION

2.1. TARIC code (10 digits)

2.1.1. Presumed

2.1.2. Declared

2.1.3. Established

2.2. Dispatching country

2.2.1. Presumed

2.2.2. Declared

2.2.3. Established

2.3. Country of origin

2.3.1. Presumed

2.3.2. Declared

2.3.3. Established

2.4. Quantity

2.4.1. Presumed

2.4.2. Declared

2.4.3. Established

2.5. Customs value

2.5.1. Presumed

2.5.2. Declared

2.5.3. Established

2.6. Customs procedure

2.7. Type of check that led to discovery

3. RECOVERY STAGE

3.1. Administrative stage code

3.2. Financial stage code

3.3. Non-recovery due to criminal investigation

4. ADDITIONAL INFORMATION

4.1. Date of establishment (format: dd/mm/yyyy)

4.2. Reference of the establishment

4.3. Date in the B accounts (format: dd/mm/yyyy)

4.4. Reference of the B account

4.5. Date of last appeal decision (format: dd/mm/yyyy)

4.6. Amounts of traditional own resources

4.6.1. Estimated amount

4.6.2. Established amount

4.6.3. Amount of the correction

4.6.4. Amount written-off

4.6.5. Recovered amount

4.6.6. Amount to be recovered

4.7. Information on fraud or irregularity:

4.7.1. Designation

4.7.2. Type of fraud or irregularity

4.7.3. Concise description of fraud mechanism

4.8. Case already notified under mutual assistance agreements (Council Regulation (EC) No 515/97 (1))

4.8.1. MA-reference (format: yyyy/nnnn)

4.8.2. OLAF case reference (format: LL/yyyy/nnnn) (2)

4.8.3. JCO (Joint Customs Operation) reference

4.9. CPCA reference (Common Priority Control Area)

4.10. RIF reference (Risk Information Form)

4.11. WOMIS (write-off management information system) Reference (if applicable) (format: cc/yyyy/nnnn

4.12. Measures taken or planned to prevent recurrence

4.13. Member States involved

4.14. Other information

(1) Council Regulation (EC) No 515/97 of 13 March 1997 on mutual assistance between the administrative authorities of the Member States and cooperation between the latter and the Commission to ensure the correct application of the law on customs and agricultural matters (OJ L 82, 22.3.1997, p. 1).

(2) Where the case is linked to a financial recommendation made by OLAF this shall be also indicated.

20…

Member State:

1. Inspection by Member States

Inspection activities

Data

1. Customs declarations accepted (customs arrangements or customs use concerned)

1.1. Total number of import declarations (declaration level) under standard procedures

1.2. Total number of import declarations (item level) under standard procedures

1.3. Total number of import declarations (item level) under simplified procedures

2. Post-release inspections:

2.1. Total number of customs declarations (item level) controlled after release of the goods (customs declaration revision)

2.2. Total number of other post-release controls

2.3. Total number of post-release audits

3. Staff in customs departments

3.1. Total number of staff in customs departments (1)

3.2. Total number of staff on other post-release controls

3.3. Total number of staff on post-release audits

(1) Total number of customs staff (expressed in persons per year in Full-Time Equivalents).

2. Questions of principle

List of the most important points relating to the establishment, entry in the accounts and making available of the entitlements which have been encountered in the application of Regulation (EU, Euratom) No 608/2014 and Council Regulation (EU, Euratom) No 609/2014 (1), as well as of Council Regulation (EC, Euratom) No 1150/2000 (2), including those raised in matters in dispute.

(where necessary, continue in an annex, referring to this item)

(1) Council Regulation (EU, Euratom) No 609/2014 of 26 May 2014 on the methods and procedure for making available the traditional, VAT and GNI-based own resources and on the measures to meet cash requirements (OJ L 168, 7.6.2014, p. 39).

(2) Council Regulation (EC, Euratom) No 1150/2000 of 22 May 2000 implementing Decision 2007/436/EC, Euratom on the system of the European Communities Own Resources (OJ L 130, 31.5.2000, p. 1)