Annex: Reporting template for gross costs and losses and financial recoveries in a reference year

Name of the financial entity

Legal Entity Identifier

Start and end date of the reference year of the financial entity

Currency

Number of Date of the Incident Gross costs and losses Recoveries of the incident submission of the reference of the incident in the incident in the final incident report number reference year (1000s of reference year units) (1000s of units)

1

2

…

Total for ----------- -----------reference year

1. Overview

1.1 References

1.2 Identified Requirements

1.3 Related Standards

2. Identified Requirements

3. Related Standards

• EBA - Published by the European Banking Authority at https://www.eba.europa.eu/