Notification form for the provision of Crypto-asset services under Article 60 of Regulation (EU) 2023/1114 (MiCA)

Sep 1, 2026

Notification form template for financial entities intending to provide crypto-asset services under Article 60 of Regulation (EU) 2023/1114 (MiCA) and related delegated and implementing regulations. It sets submission purpose, completion requirements, and timing for assessment by the ACPR or AMF. The form includes guidance on accurate, complete and up-to-date responses, sanctions for erroneous information, possible clarification requests, and rules for naming supporting documents. It also provides sections for general information, an applicant declaration, and detailed personal-data notices covering processing, rights, and contact points.

LanguageEnglish

CategoryForms

FormatDOCX

Pages20

Reading Time7 min

AccessFree to download

Form Purpose and Disclaimer

Guidance

GENERAL INFORMATION

Dear [ACPR / AMF]

Nature of the application

SPECIFIC INFORMATION

INFORMATION ON DATA RELATING TO INDIVIDUALS

Notification form for the provision of Crypto-asset services under article 60 Regulation (EU) 2023/1114 and Commission Delegated Regulation (EU) 2025/303 and Commission Implementing Regulation (EU) 2025/304 The financial entities (credit institution, central securities depository, investment firm, electronic money institution, AIF or UCITS management company, market operator) listed by Article 60 of Regulation (EU) 2023/1114 (the ‘MiCA Regulation’) which notify the Autorité des marchés financiers (hereinafter, the "AMF") or the Autorité de contrôle prudentiel et de résolution (hereinafter, the "ACPR") of their intention to provide crypto-asset services pursuant to Article 60 of MiCA may use the following form. Form Purpose and Disclaimer Responses to the form must be accompanied by all the details necessary to inform the ACPR or AMF's assessment. All sections must be completed in the right column, if necessary by mentioning "not applicable". The processing times provided for by MiCA and the Monetary and Financial Code begin to run from the receipt of a notification file by the ACPR or AMF's services, following the specifications indicated below. The intentional or negligent disclosure of erroneous, incomplete or misleading information is subject to sanctions and may be taken into account in the ACPR or AMF's decision. The ACPR or AMF's services may, on the basis of Article 60, paragraph 8, of MiCA request clarification on the elements listed below or additional elements before considering the case as complete. The form and the accompanying documents must be sent to: the AMF in electronic format at the following address: HYPERLINK "mailto:mica-psca@amf-france.org" mica-psca@amf-france.org when filed by a central securities depository, a UCITS or an AIF management company or a market operator; or the ACPR in electronic format HYPERLINK "https://sso-loginp.banque-france.fr/oam/server/obrareq.cgi?encquery%3Dx3Psuh243N%2FXEIpbdwtAzfV87YtMTIdNGPwaemMedz%2FjF8NVpZkIn3OB4QrPEgoQi2jdVJbFFlHx1xMzdf2BcSg40ok2igN8tCDww83ahnl8aMmGn%2FmtpISgrLIUbAZpIfT%2F8hd1mnHax37veIIXPyCnIMmB9tltXn6Rs4Sldd6YQOmWb0ICiIDaG%2FSAMdkF871MKvY1hFpdNniTqRoWKzHBhf1nrQ2%2BFwzuXlvbzEOtcEpJemYyd57ZDiOu7DrDvaqdSCICsMdK82eFMRvAZJzyYpeuxFzjUlOLkaUyDeE%3D%20agentid%3Dpep-app-ext%20ver%3D1%20crmethod%3D2%26cksum%3D760f2ddcdf298354e0d0c8b0c0754bf64282dd7e"on the ACPR Portal (type of request: “notification pour la fourniture de services sur crypto-actifs”) when filed by a credit institution, an investment firm or an electronic money institution. Guidance Please note that general information on notification process may be found on the AMF website or on the ACPR website. Please fill in completely the form and do not leave an information request unanswered (please include “Non applicable” or “N/A” where relevant). Please note that supporting documents must be named in a manner which is consistent with the references provided in this document. Furthermore, many questions include a request for a “description”. In this case, please provide a concise but accurate description of the requested information and, where applicable and/or necessary, references to supporting documentation (e.g., chapter and page numbers). Finally, please note that if pieces of information set out in Section B of this form have already been provided to the ACPR or the AMF in the context of a previous notification, it must be expressly indicated in the right column that the already provided information is still up-to-date. GENERAL INFORMATION Reference number: Date: Dear [ACPR / AMF], In accordance with Article 60 of Regulation (UE) 2023/1114 (MiCA) on markets in crypto-assets, please find kindly attached our notification of our intention to provide crypto-asset services. [We,] [notifying entity,] declare that the submitted information is accurate, complete and up-to-date. If some information relates only to a future date, it is explicitly identified in the notification and we undertake to noti

FAQs

Who should submit this notification form under Article 60 of MiCA?

Financial entities listed under Article 60 that notify their intention to provide crypto-asset services to either the AMF or the ACPR should use this form.

What are the completion and submission requirements for the form?

All sections must be completed in the correct column, using “not applicable/N/A” when needed. The processing timeline starts when the notification file is received by the ACPR or AMF.

How is personal data on individuals processed and what rights apply?

The ACPR/AMF process the data to assess suitability under French regulatory competence and knowledge criteria. Individuals may exercise rights such as access and, where applicable, rectification, erasure, objection, or restriction of processing, via the designated contact details.

Sep 1, 2026

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