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Below is an example of a European Declaration of Conformity and an example form for a Declaration of Conformity:
Manufacturer: XYZ Corp.
325 Grassy Knoll
Garden City, New York
Telephone No. (516) 555-3333
Product: Walk-Behind Lawn Mower (3.5 HP)
Model No. 3.5L
Serial Number 350000-360000
The undersigned hereby declares, on behalf of the XYZ Corp. of Garden City, New York, that the above-referenced product, to which this declaration relates, is in conformity with the provisions of:
The Technical Construction File required by this Directive is maintained at the corporate headquarters of XYZ, Inc., 325 Grassy Knoll, Garden City, New York.
Joseph P. Glass
Vice President–Design Engineering
EUROPEAN DECLARATION OF CONFORMITY
We, (Company name, Address, Phone, FAX) declare under our sole responsibility that the product
(name, type or model, lot, batch or serial number, possibly sources and numbers of items)
to which this declaration relates is in conformity with the following standard(s) or other normative document(s)
(title and/or number and date of issue of the standard(s) or other normative document(s)
(if applicable) following the provisions of ___________________________________________________
Directive(s). (Machinery, Electromagnetic Compatibility, etc.)
The Technical Construction File is maintained at: (give the address of the facility where the File is maintained).
The authorized representative located within the Community is:
(name, address, phone, FAX)
Per Annex II.B of the Machinery Directive (98/37/EC):
The machinery, product, assembly or sub-assembly covered by this Declaration of Conformity must not be put into service until the machinery into which it is to be incorporated has been declared in conformity with the provisions of the applicable Directive(s). This statement is only necessary where the product is to be incorporated into a machine or system (e.g. a safety component).
Date of issue:
Place of issue:
(Signature of authorized person)
(Typed name of authorized person)