Annex 1: Reporting template for DGS funds

Basic information Reporting Authority: Member State: Deposit Guarantee Scheme: Date of submission: Reporting year: Currency [Only if currency is not euro]: Exchange rate date (if not 31 December) Exchange rate Chosen approach to allocating recoveries Approach A ☐ / Approach B ☐ / not yet decided ☐

Amount of DGS funds as of 31 Amount in EUR (thousands) [Only if currency is not euro]: December of the reporting year Amount in local currency (thousands) Available financial means of which: qualified available financial means (QAFM) of which: other available financial means (other AFM) Outstanding liabilities that have been incurred for the purpose of a DGS intervention or investment Covered deposits Outstanding loans to other DGSs in accordance with Article 12 DGSD.

Alternative financing arrangement in place Multiple answers possible Mandatory lending from member banks ☐ Credit line (or similar) from central bank ☐ Credit line (or similar) from government ☐ Credit line (or similar) with (commercial) bank(s) ☐

1. Przegląd

1.1 Odwołania

1.2 Zidentyfikowane wymagania

1.3 Powiązane normy

2. Zidentyfikowane wymagania

3. Powiązane normy

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