[DATE]
To EPA ENERGY STAR Program:
[BRAND OWNER COMPANY] is the owner of the [BRAND NAME] brand, which it licenses to [LICENSEE] for the manufacture and sale of [BRAND] [ENERGY STAR Product Category  -  e.g., water coolers] in [COUNTRY NAME  -  e.g., the U.S.]. The model number(s) that [LICENSEE] will submit for ENERGY STAR certification under [BRAND NAME] are exclusive to [LICENSEE].
[LICENSEE] bears full responsibility for control of the product including the sales, marketing, distribution, product warranties, and all product certification. Upon completion of the license agreement, [LICENSEE] retains full responsibility for the life of the product.
The following contacts for [BRAND OWNER COMPANY] and [LICENSEE] should be associated with the [LICENSEE] ENERGY STAR Partnership for [ENERGY STAR Product Category]:
BRAND OWNER COMPANY
NAME, TITLE
ADDRESS
PHONE NUMBER
EMAIL ADDRESS

LICENSEE COMPANY
NAME, TITLE
ADDRESS
PHONE NUMBER
EMAIL ADDRESS

The license agreement between [BRAND OWNER COMPANY] and [LICENSEE] ends on [MONTH], [DATE], [YEAR]. When the agreement comes to end or is extended for any reason, [LICENSEE] will provide notification to the EPA indicating any change to the original agreement.
Sincerely,
BRAND OWNER COMPANY
Signature

LICENSEE COMPANY
Signature
