Plné znění - 241/2006 Sb.

Xxxxxxxxxxxxx xxx xxx Xxxxxxxxxx xx Xxxxxxxxxxxx xxx xxx Xxxxxxxxx xx Xxxxxxxxx Xxxxxxx xx Xxxxxxx xx Xxxxxxxx Xxxx xxxxxxxx xx Xxx Xx. 209/1997 Xxxx., xx the xxxxxxxxx xx fulancial xxxxxxx xx the xxxxxxx xx xxxxxxxx xxxx xxx on xxxxxxxx xxxxxxx other xxxx, xx xxxxxxx

Xxxx Xxx/Xxxxx,

Xx xxxxxxxxx xxx xxxxxxxxx xxx xxxx xxxxxxxx questions xx xxxx current xxxxxxxxx. Xxxxxxx, xxxxxxx in xxxx xxxxxxxxxxxxx xx xxxxxxxx xxx the xxxxx xxxxxxxxxx of xxxx xxxxxxxxxxx for xxx xxxxxxxxx xx xxxxxxxxx xxxxxxx xxxxxxxx xx Xxx no. 209/1997. Thank xxx xxx your xxxxxxxxxxx; xx is xxxxxx xxxxxxxxxxx.

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X. Xxxxxx legibly xxxx xx xxx xxxxxxxx xxxx of xxx xxxxxxxxx - x.x. xxx xxxxxx xx xxx criminal xxx xxx xxx xxxxxxxx xxxxxx xxxx, xx xxx survivor xx a xxxxxx xxx xxx xxxx xx xxxxxxxxxxx xx xxx xxxxxxxx xxx:

1. Xxxxxxx:

2. Xxxxx xxxx:

3. Xxxx of birth:

4. Xxxxxxxxx address:

5. Xxxx xxxxxxxx xxxxxxx (xxxxxx xx xxxxxx from xxx xxxxxxxxx address, xxxx):

6. Xxxxx Xxxxxx:

7. X-xxxx xxxxxxx:

8. Xxxxxxxxxxx:

XX. Xx the xxxxxxxxx xx xxxxxxxxxxx by xxxxxxx xxxxxx ("xxxxxxxxxxxxxx") xx xxx basis xx xxxxxxxxx xxxxxxxxxxxxxx (xxx xxxxxxxx, a xxxxx child xxxxxxxxxxx xx xxx/xxx xxxxxx) xx on the xxxxx xx a xxxxx xx attorney, xxxxxx xxxx xx xxx xxxx xx xxxx xxxxxxxxxxxxxx:

1. Surname:

2. Xxxxx xxxx:

3. Xxxxxxxxx xx xxxxxxxxxx xxxxxxx:

Xx xxx xxxxxxxxxxxxxx xx xxxxxx xxx application xx xxxxxx xx xxx xxxxxxxxx, please xxxx xxxxxx x xxxxxxxx xxxxxxxxxxx him/her xx represent the xxxxxxxxx - a xxxx of x xxxxx xx attorney (xxx xxxxxxxxxxx xxxxxxxxxxxxxx) xx a copy xx xxx birth xxxxxxxxxxx (xxx xxxxxxxxx xxxxxxxxxxxxxx) xx xxx xxxxx xxxxxxxxxx xxxxxxxx.

XXX. Xx the xxxxxxxxx xx x xxxxxxxx xx x xxxxxx xxx xxx xxxx xx xxxxxxxxxxx of xxx xxxxxxxxxx xxxxxxxx xxx, xxxxxx fill xx xxx xxxxxxxx xxxx xx xxx xxxxxxxx:

1. Xxxxxxx:

2. Given xxxx:

3. Xxxx xx xxxxx:

4. Xxxx xx xxxxx:

5. Xxxx xxxxxxxxx xxxxxxx:

6. Nationality:

7. Xxxxxxxxxxxx xx xxx deceased xx the xxxxxxxxx (x.x. xxxxxx, xxxxxxxx, xx individual living xx common xxxxxxxxx)

Xx xxx xxxxxxxxx xx x xxxxxxxx of x xxxxxx xxx xxxx xx consequence xx the xxxxxxxx xxx, please xxxxxx x xxxx xx xxx xxxxx certificate xxx any documents xxxxxxx that the xxxxxxxx supported xx xxx xx xxxxxxxxxx xx xxxxxxx the xxxxxxxx (xx xxx xxxx of x xxxxxx-xxxxx relationship, such xxxxxxxxx include xxxxx xxxxxxxxxxxx xx a xxxxx decision xx xxx obligation xx xxxxxxx the xxxxxxxxx; xx xxx xxxx xx xxxxxxx couples, xxxxxx xxxxxx x xxxxxxxx xxxxxxxxxxx).

Xxxxxx specify xxx xxxx xx xxxxx xxx xxxxx xxx xxxxxxxxx xxx, if xxx xxxxxx xxxxxxx xxxxx xxx xxxxxxxxxxxx xx the xxxxx xx x xxxxx xxxx, xxxxxx xxxx xxxxxxx xxx xxxx xxx xxx xxxxxx xx which xxx xxxxxx learned xx xxxx xxxxxxxxxxxx (e.g., xxx xxxx of xxx xxxxxxx report).

VI. Xxxxxx xxxxxxx the xxxxxxxx justice xxxxxxxxx (x.x. xxxxxx, xxxxxx xxxxxxxxxx'x xxxxxx, xxxxx) xxxxx xxxx recently xxxxxxxxx xxxxxxxx xxxxxxxxxxx. Xxxxx xxx xxxxxxxxx xxxxxx xx xxx xxxx related xx xxx xxxxxxxxxx proceedings.

If xxxxxxxxx, please xxxxxx xxx xxxxxx xxxxxxxx xx xxx abovementioned xxxxxxxx xxxxxxx authority xxxxx xxxxx indicate xxx xxxxx xx xxx xxxxxxxxxx xxxxxxxxxxx (x.x. xxxxxxxxxx on xxx xxxxxxxxxxxxxxx of xxxxxxxx xxxxxxxxxxx, xxxx xx the indictment, xxxxxxxxx - xxxxx xx xxxxxxxxx).

According xx xxx xxxxxxxxxx xx §8 xx Xxx no. 209/1997, xxx xxxxxx xx xxxxxxxxx xxxxxxx xxx xx xxxxxxx or xxxxxxxx depending xx xxxxxxx xxx victim xxx made xxx xx xxx legal xxxxxxxx to xxxxxxx x claim xxx xxxxxxxxxxxx xxxxxxx xxx xxxxxxxx xx xxx xxxxx person responsible xxx xxx harm xxxxxxxx. Xx not xxxx xx xxxx xxxx xx the xxxxxxxx xxx xxx xxxx xxxxxxxxxx.

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Xxxx xx xxxx XxXx if xxx xxxxxxxxx xx x xxxxxxxx xx xx xxxxxxxxxx who xxx xxxx xx xxxxxxxxxxx of xxx xxxxxxxxx xxxxx.

1. Xxx xxx x xxxxx, spouse xx xxxxx xx xxx xxxxxx xxx died xx consequence xx xxx criminal xxxxxxx?

2. Xxx xxx xxxx xx x xxxxxx xxxxxxxxx with the xxxxxxxx xxxxxx xxxxx xx the xxxxxxxxxx xx xxx xxxxx?

3. Xxxx you x xxxxxxxxx of xxx xxxxxx or xxx xxx deceased xxxxxxx xx support xxx?

4. Xx xxx other xxxxxxx xxxx xxx xxxxxxxxxx xxxxxxxxx in xxxxxxx 1 xx 3? Please xxxx xxxxx xxxxxx, xx xxxxx xx xxx.

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Xxxxxxxxx xx xxx xxxxxxxxxx xx §2, xxxxxxx 2 xx Xxx xx. 209/1997, x xxxxxx xxx xx x xxxxxxxx of x xxxxxx xxx xxxx xx xxxxxxxxxxx xx x xxxxxxxx xxx xx xxxxxxxxxx xx xx x xxxxxx xx xx xx xxx xx x parent, xxxxxx xx xxxxx xx xxx xxxxxxxx xxx xxxxx xxxx xxx xx xxx xx xxx xxxx household xx xx xxx xxxxxx xxx x xxxxxxxxx of xxx xxxxxxxx or xxx xxxxxxxx xxx xxxxxxxx xx support xxx xxxxxx.

Xx xxx xxxxxxxxx xx xxx xxxxxx xx x crime xxx xxx suffered xxxxxx xxxx, xxxxxx xxxx xx xxxxx XX - XXX.

Please xxxxxx x xxxxx-xxxxx assessment xx xxxx xxx xxxxxxxxx xxxxxxxx to Xxxxxx Xx. 440/2001 Xxxx. Xxx respective xxxxxxxx xxxxxx xx xxxxxxxx xxxx xxx xxxxxxxxx xxxxxxxxxxx for xxx victim's xxxxxxxxx. Xxxx medical xxxxxx xxxx xxxxxxx a xxxxx-xxxxx assessment xx xxx pam suffered xxx x xxxxx-xxxxx xxxxxxxxxx xx xxx xxxxxxxx xx the xxxxxx'x xxxxxx position. Xxxxxx bear xx xxxx xxxx xxxx xxx point-based xxxxxxxxxx xx the xxx xxxxxxxx xx xxxxxxxx xxx the xxxxxxxx xx Xxx xx. 209/1997. According to xxx provisions xx §6, section 2 xx Act xx. 209/1997, no xxxxxxxxx xxxxxxx xxxx xx xxxxxxxx xxxxxx the xxxxx assessment xx xxx pain suffered xx at least 100 xxxxxx.

Xxx xxxxxx may xxxxxx xxxx sum xxxxxxxxx xxxxxxx in the xxxxxx of CZK 25,000 xx an xxxxxx xxxxx to xxx proved xxxxx xx medical xxxxxxxxx xxx xxxx xxxxxx (§7, section 1, xxxxxx x xx Xxx Xx. 209/1997 Xxxx.). xx xxx xxxxxx xx apply xxx x xxxx xxx xxxxxxx, xxxxx xx xx xxxx xx xxxx xx xxxxx XXX - XxX.

Xxxx includes xxx expenses for xxxxxxxxxx, xxxxxxxx xxxxxxxxx, xxxxxxxxxxxxxx xxxxx, hiring xx assistant xx xxxx xxx xx xxx xxxx xx xxxx xxxxxxx treatment, xxxxxxxxx transportation xxxxx xxx., xxxxxxxx xxxx xxxxx have xxx xxxx paid xx xx xxxxxxxxx xxxxxxx. xx such xxxxxxxx xxx xxx xxxxxx xx documentary xxxxxxxx, xxx Ministry xx Xxxxxxx may xxx xxxx xxxx xxxx xxxxxxxxxxxxx.

Xxxxxx attach xxx xxxxxxxxx xxxxxxxxxx xxxx xxxxx xx xxx xxxxxxxxxxx.

Xx the xxxxxxxxx is xx xxxxxxxx, xxxxx documents xxxxx include a xxxxxxxxx xxxx his/her xxxxxxxx xxxxxxxxxx xxx xxxxxxx salary xxxxxxxxx xx §351 et. xxx. of Xxx xx. 262/2006, xxx Xxxxx Xxxxxx Code, xx amended. xx xxx applicant xx xxxx-xxxxxxxx, xxxx document xxxxx xx x xxxx xx his/her xxxx recent tax xxxxxx. xx xxx xxxxxxxxx xx a xxxxxxx xxxxxx xxx xx xxxx to xxxxx xxx/xxx impaired xxxxxx standing, please xxxxxx a xxxxxxxx xxxxxxxxxx the amount xx xxx xxxxxxxxxx xxxxxxx. xx for xxx xxxxxx the xxxxxxxxx'x xxxxxx situation xxxxxx be xxxxxx, xx xxxxxxxxxxx xxxxx xx xxxxxxxxx xxx xx xxxxxxxx.

Xx xxxxxx xxxxxxxx has xxxx impaired xx x xxxxxx xx xxx criminal xxx xx xxxxx X xxx a xxxxxx. X xxxx xxx xxx xxxx xxxxxxxxxxx xxx xxx xxxx 1 xxxx xxxxxxxx xx a result xx the criminal xxx.

X xxxxxx xxxxxx xxxx X xxxx xxx lodged xxx xxxxx xxx xxxxxxxxx xxxxxxx xx any xxxxxxx xxxxx for xxxxxxxxxxxx xxx xxx xxxx suffered as x xxxxxx xx xxx criminal xxx xx any xxxxxxx xxxxx xxxx the Xxxxx Xxxxxxxx.

X acknowledge xxxx xxxxxxxxx xx §12 of Act Xx. 209/1997 Coll., xx xxx xxxxxxxxx xx xxxxxxxxx support xxx xxx xxxxxxx xx criminal xxxx xxx xx xxxxxxxx xxxxxxx other xxxx, xx xxxxxxx, I xx obliged to xxxxxxxxx xxx Ministry xx Xxxxxxx xxx xxxxxx received xx xxxxxxxxxxxx xxx xxx xxxx xxxxxxxx, xx xx xxx xxxxxx xx xxx xxxxxxxxx xxxxxxx, xxxxxx xxxx xxxxx from the xxxx xx xxxxxxxxx xxx funding xxxxxxx. X xxxx xxxxxxxxxxx xxxx, xxxxx xxx xxxxx xx xxx xxxx-xxxx xxxxxx, I xxx xxxx xx xxxxxxxxxxx xxxxxx xxx Xxxxxxxx of Xxxxxxx xx xxxxx xxx xxxxx'x claim for xxx xxxxxx xx xxx provided xxxxxxx, xxxxxx xxxx x xxxxxx xx well xxxxxxxx xx my xxxxxx xxxxxxxx, xxx xxxxx xxxxxx xx xxxx suffered xxx xxx xxxxxx xx xxxxxxxxxxxx received.

I xxxx xxxxxxxxxxx xxxx xxxxxxxxxxx xxxxxx xxxxx xx xxxxxxxxxx xxxxxxxxxxx xx xxxxxxxxxxx information for xxx xxxxxxxx xx xxxxxxxxxxxxx gaining xxxxxxxx xxx xxxxxxxxx xx xxxxxxx pursuant xx §21, xxxxxxx 1, xxxxxx x) xx Xxx no. 200/1990 Xxxx., on xxxxxxxx xx amended.

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Signature of xxx xxxxxxxxx xx xxx/xxx xxxxxxxxxxxxxx

- Xxxx xxxxxxx xx the xxxxxxxxxxx xxx xxx xxxxxxxxx xx xxxxxxxxx xxxxxxx xxxxxxxx xx Xxx Xx. 209/1997, xxx Xxxxxxxx xx Xxxxxxx xxxxx xxxxxxx xxxxxxx xxx assign xx x xxxxxx xxxxxx. Subsequently, xxx Xxxxxxxx xxxxx initiate xx xxxxxxxxxxxxx xxxx xxx xxxxxx xx x similar authority xx xxx the xxxxxxxx details xx xxx case. Xxxxxx xxxxx xxxxxx xxxx xxx xxxx of xxx xxxxxxx of xxx xxxxxxxxxxx xxx xxxxxxxxxx xx the xxxxxxxxx xxxxxxxxx, xxx Xxxxxxxx xxxxx either xxxxxxx the xxxxxxx xx xxxxxx xxx xxxxxxxxx of the xxxxxxx xxx xxxx xxxxxxx xxx been xxxxxxxx.

- The xxxxxxxxx xxxxx xx considered x xxxxxx as xxx Xxx Xx. 209/1997 Xxxx. only xx he/she xxx xxxxxxxx bodily harm xx a result xx xxx commitment xx x xxxxx. X xxxxxxxxx but xxx the xxxx xxxxxxxxx for xxx xxxxxx'x receipt of xxxxxxxx xxxxxxx xxxxx xx xxx xxxxxx xx the xxxxx-xxxxx xxxxxxxxxx xx the xxx suffercd (xxx xxx weakening xx xxxxxx xxxxxxxx), which xxxx xx xx xxxxx 100 xxxxxx. Xxxxxxxxx xx x xxxxxx xxx has xxxx in consequence xx a xxxxx xxxxx be considered xx be a xxxxxx xx xxx xxxxxxxx xx a xxxxxx, xxxxxx xx xxxxx xx xxx xxxxxxxx xxx xxx xxxxxxxx xxxxxx x xxxxxxxxx xxxx xxx xxxxxxxx xx xxx xxxx xx xxx/xxx xxxxx xx if xxx xxxxxxxx xxxxxxxxx xx xxx xxxxxxxx xx support the xxxxxxxx.

- Xxx Xx. 209/1997 Coll. on xxx provision of xxxxxxxxx support xx xxxxxxx xx xxxxxxxx xxxx stipulates a xxxxxxxxxx term xx 1 xxxx xxxx xxx date xx xxxxx the xxxxxx xxxxxxx of xxx xxxx xxxxxx xx xxx crime. Xx xxxx xxxx does xxx xxxxxxxx xxxx xxx xxxx xx xxx xxxxxxxxxx xx xxx xxxxx, the xxxxxx xxxxx xxxxxxx xxxxxxxx xx xxx xxxx xx xxxxx xx/xxx xxxxxxx of xxx xxxxxxxxxxxx. Xxx Xxxxxxxx of Justice xxxxxx meet xx xxxxxxxxxxx for xxx xxxxxxxxx of xxxxxxxxx xxxxxxx xxxxxxxx xxxxxxx xxxxx the xxxxx xx xxx xxxxxxxxxxxxxx xxxxxx.

- Financial support xx applied xxx xx a xxxxxx xxx has xxxxxxxx xxxxxx harm xx x xxxxxx xx xxx xxxxxxxxxx of x crime may xx xx the xxxx of x xxxx xxx xxxxxxxxx xx XXX 25,000 xx xx amount xxxxx xx lost xxxxxx or the xxxxx xx xxxxxxx xxxxxxxxx xx xxxxxx xx xxx xxxxxx, xxxxxxx by xxx xxxxxx xxxxxxxxxx xxxx xx xxx xxxxxx xx xxxxxxxxxxxx xxx xxx xxxx incurred. Xxx total xxxxxx xx such xxxxxxx xxxx xxx xxxxxx XXX 150,000. If, xxxxx the xxxxxxxxx xx xxxxxxx, xxx xxxxxx xxxxxx that xxx xxxx suffered xxxxxxx xxx xxxxxx xxxxxxxx, xxx victim xxx receive additional xxxxxxx xx to xxx xxxxxx xx XXX 150,000 xx xx/xxx applies xxx xx xxxxxx the xxxxxxxxxxxxxx xxxxxx xx xxxx (i.e., 1 xxxx from xxx xxxx xx xxxxx xxx xxxxxx xxxxxxx xx xxx xxxx xxxxxx xx xxx xxxxx); xx xxxx xxxx, any xxxxxxx xxxxxxx paid xxxx xx xxxxx xxxx xxxxxxx.

- An xxxxxxxxxx xxx xx x xxxxxxxx of x xxxxxx xxx has xxxx as a xxxxxx xx the xxxxxxxxxx xx x xxxxx (x xxxxxx, xxxxxx xx xxxxx xx xxx xxxxxxxx xxxxxx in x xxxxxx household xxxx xxx xxxxxxxx xx xxx time xx xxx/xxx xxxxx xx xxxxxxxxx xx xx xxxxxxxx to xx xxxxxxxxx xx the xxxxxxxx) shall xx xxxxxxxx xxxx a xxxx xxx amounting xx CZK 150,000. Xxx xxxxx xxxxxx xxxxxxxx as xxxxxxxxx xxxxxxx xxxxx xxx xxxxxx XXX 450,000; xxxxxx xxx xxxxxx xx victims exceed xxxxx, xxx xxxxxx xxxxxxxx xxx victim xxxxx be xxxxxxx xxxxxxxxxxx.

- Xxx No. 209/1997 Coll. xxxx xxx replace xxx xxxxxxxxx of the xxxxxxxxx liability xx xxxxxxxxx xx xxxxx xxxxxxxx related xx xxxxxxxxxx liability insurance. Xx matters xxxxxxx xx traffic accidents, xxxxxxxxxxxx for xxxxxxxxx xxxxxxxx xxxxxx xxxx xx xxxxxxxx xx xxx xxxxxxxx xxxxxxxxx xxxx xxxxxxxxx insurance. Xxxx xx isolated xxxxx, xx view xx xxxxxxxxxxx xxxxxxxxxxxxx, xxx xx xxxxxxxxxxx xxx xxx xxxxxxxxx xx xxxxxxxxx xxxxxxx xx filed xxxx xxx Xxxxxxxx xx Xxxxxxx.

- Xxxxxx xxxx xx xxxx xxxx xxx available xxxxxxxxx xxx xxxxxxxxxxxxx required xxx the xxxxxxxxxx xxxxx xxxx xx xxxxxxxx xx the xxxxxxxxxxx. Xx xxx xxxxxxxxx xxxxx xx xx xx, the Xxxxxxxx xx Xxxxxxx xxxxxx xxxxxxxx process xxx xxxxxxxxxxx. Should xxx applicant fail xx xxxxxxx any xxxx documents xxx xxxxxxxxxxxxx xxxx xxxxxx x supplementary deadline, xxxx xxxx xxx xxxxxxx a xxxxxxxx xx withhold any xxxxxxx as xxx Xxx Xx. 209/1997 Xxxx. This xxxxx xxx, however, prejudice xxx filing xx xxxxxxx xxxxxxxxxxx.

- Xxxxxx xxxx xx xxxx xxxx xxx xxxxxxxxx xxxxx be xxxxxxx xx return any xxxxxxxxx xxxxxx received xx compensation xxx xxxx (from xxx xxxxxxxx, insurers etc.) xx xxx account xx xxx Xxxxxxxx xx Xxxxxxx xx xx xxx amount xx the xxxxxxx xxxxxxxx. This xxxxxxxxxx xxxx xxx xxxxx xx he/she xxx xxx received xxx xxxxxxxxxxxx. If so xxxxxxxxx by xxx xxxxxx xx xx xxxxxxxxxxx, xxx Ministry xx Justice xxx xxxxx xxx state's xxxxx xx claim xxx xxxxxx of xxx xxxxxxxxx support xxxxxxxx xxxxx xxx xxxxx of xxx xxxx-xxxx term, xxxxxxxx xxxx a xxxxxx xx justified xx xxx xxxxxx'x xxxxxx xxxxxxxx, the xxxxx xxxxxx xx xxx xxxx suffered and xxx xxxxxx xx xxxxxxxxxxxx paid xx xxx victim.

Xxxxxx xxx/xxxx/xxxxxx

Xxxxxxxxxxxxxxx xx, že x xxxxxxxx, v ktorej xx xxxxxxxxxx, sme xxxxxx Xxx xxxxxxxxx xxxxxxxxxxxx otázkami. V xxxxxx rýchleho posúdenia Xxxxx žiadosti o xxxxxxxxxxx xxxxxxxx pomoci xxxxxxx trestnej xxxxxxxx xxxľx xxxxxx č. 209/1997 Zb., xx však xxxxxxxxx xxxxx xxxxxxxxx xxxxxxxxxx. Xxxxxxxx Xxx xx xxxxxxxxxx, xxxxx xx xxxxx xxxxxx.

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X. Xxxxxx, xxxxxxx čitateľne xxxxxx xxxxx x xxxxxxxľxxx - obeti trestného xxxx, ktorej xxôxxxxxx xxxx xx xxxxxx, xxxxx xxxxx pozostalej xx xxxxx, ktorá x dôsledku xxxxxxxxx xxxx zomrela:

1. Xxxxxxxxxx:

2. Xxxx:

3. Xxxxx xxxxxxxxx:

4. Xxxxxx xxxxxxxx pobytu:

5. Xxxxxxxxxxxxxx adresa (x xxxxxxx, že xx xxxx xx xxxxxx xxxxxxxx xxxxxxxx):

6. Xxxxxxx:

7. X-Xxxx:

8. Xxxxxxxxxx:

XX. Xx xxxxxxxľx zastupuje xxx xxxxx (xxxxxxxx) xx xxxxxxx zákonného xxxxxxxxxx (xxxx. maloleté xxxxx xxxxxx xxxxxxx) xxxxx xx xxxxxxx xxxxxx x xxxxx moci, xxxxxxx xxxxx o xxxxxxxxxx:

1. Xxxxxxxxxx:

2. Xxxx:

3. Xxxxxxxxxxxxxx xxxxxx:

Xx žiadate xx inú osobu, xxxx xx doložiť xxxxxxxxxx, xxxxx xxxxxxxxxx xxxxxxx. Preto x xxxxxxxx xxxxxxxx xxxxx xxxxx xxxx (pri xxxxxxxx xxxxxxxxx) xxxxx xxxxx xxxxxxx xxxxx (x xxxxxxx zákonného xxxxxxxxxx) alebo inú xxxxxxx listinu.

III. Ak xxxxxxxľ xxxxx xxxxx xxxxxxxxx xx xxxxx, xxxxx x xôxxxxxx xxxxxxxxx činu xxxxxxx, xxxxxxx, xxxxxx, xx xxxxx x umretej xxxxx:

1. Priezvisko:

2. Xxxx:

3. Xxxxx xxxxxxxxx:

4. Dátum xxxxxx:

5. Posledné xxxxxxxx:

7. Xxxxxxxxxx:

8. V xxxx xxxxxx xxxx xxxxxxx xxxxx x dôsledku xxxxxxxxx xxxx x xxxxx xxxxxxxľx (xxxx, xxxxx, xxxxx xxxxxx x spoločnej domácnosti):

Ak xx žiadateľ xxxxxx xxxxxxxxxx xx osobe, xxxxx x dôsledku xxxxxxxxx činu xxxxxxx, x xxxxxxxx xx xxxx xxxxxxxx xxxxx xxxxxxxx listu x xxxxxxx, xxxxx xxxxxxxxx xxxxxxxxxx, xx xxxxxx xxxxx xxxxxxxxxx pozostalú xxxxx alebo xxxx xxxxxxxxx xx xxxxxxxxx (xx xxxxxx xxxxx - dieťa xôxxx x rodný xxxx xxxxx rozhodnutie xxxx x vyživovacej xxxxxxxxxx, xxx manželov xxxxx xxxxxxxx xxxx xxxxxxx xxxx x pod.)

IV. Xxxxxx, xx žiadate xxxxxxxx peňažnú xxxxx xxxxxxxxxxxxxxx xxxxx xxxxx xxxxxxxx xx xxxxxxx xxxx; v takom xxxxxxx láskavo oznámte xxxxx Vášho xxxx.

X. Xxxxxx xxxxx, xxxx xx obeť xxxxxxxxx x škode spôsobenej xxxxxxxx xxxxx.

Xxxxxx xxxxx xxxxxxxxx xxxxxxxxx činu x xx xx xxxx x xxxxx xxx xxôxxxxxxx xxxxxxxxx xx xxxxôx, uveďte xxxx x xxx (xxxxxxxxx z xxxxxxxxx xxxxxx - xxxxx xxx xxxxxxxxxx).

XX. Xxxxxxx xxxxx xxxxx x xxxxxxxx xxxxxx (xxxxxxxxx xxxxx, štátne xxxxxxxxxxxxxx, xxx), xxxxx xxxxxxxxx xxxxx konanie o xxxxxxxx xxxx. Uveďte xx xxxxxxx xxxxxx, xxx xxxxxx xxxxxxxx xxxxxxxxxxxx.

Xx xxxx k xxxxxxxxxx xxxxxxxx rozhodnutie xxxxxx činného x xxxxxxxx xxxxxx, xxxxx xxxx xxxxxxxxx x xxx, v xxxx xxxxxx sa xxx xxxxxxxx (napr. xxxxxxxxx x xxxxxxxx xxxxxxxxx xxxxxxxx, xxxx obžaloby, xxxxxxxx - i xxxxxxxxxxxxx), pripojte xx x xxxxxxxx.

XXX. Xxxxxx, xxxx xxôxxxxx ste xxxxxxxxx nárok xx xxxxxxx škody xx xxxxxxxľx xxxxx inej xxxxx, xxxxx xxxxxxxxx xx xxxxx.

Xxxľx xxxxxxxxxxx §8 xxxxxx x. 209/1997 (Xx)., xxxxxxxx xxxxx sa xôxx xxxxxx xxxxx xx xxxxxxxx x xxxxxxxxxxxxx xx xx, či xxxx využila všetky xxxxxxx xxxxxxxxxxx xx xxxxxxxxxx nároku xx xxxxxxx škody od xxxxxxxľx xxxxx xxxx xxxxx, xxxxx xxxxxxxxx xx xxxxx. Tento xxx xxxxxxxxxxx, xx xxxxxxxľx xxxxxxxxx xxxx xxxxxxxxx.

Xxx XXXX. Xxxxxxx, xx xxxxxxxľ xx xxxxxxxxxx po xxxxx, xxxxx v xôxxxxxx xxxxxxxxx xxxx xxxxxxx.

XXXX. Xxxxxx, xx xxx xxxxxxx xxxxxx, ktorá xxľxx podmienky xxxxxxx x §2 odst. 2 xxxxxx x. 209/1997 Xx., prípadne xxľxx xxôx xxľxx xxxxx xxxxxxxxx, xx xx Xxx xxxxx xxxxxxxxxxx známe.

1. Xxxx xxx rodičom, xxxxxxxx xxxxx xxxxxxxx xxxxx, xxxxx zomrela v xôxxxxxx xxxxxxxxx xxxx?

2. Xxxx xxx x xxxxxx xxxxxxxxx činu xxxx vykonaním xxxxxxxxx xxxx x xxxxxxxxx xxxxxxxxxx?

3. Poskytovala Xxx xxxx xxxxxxxxx činu xxxxxx, či bola x tomu xxxxxxx?

4. Xxľxxxx další xxxxx xxxxxxxxxxx xxxxxxxxx 1 xx 3? Uveďte xxx počet, xx Xxx xx xxxxx.

Xxxľx xxxxxxxxxxx §2 xxxx. 2 xxxxxx x. 209/1997 Xx. xx xx xxxx xxxxxxxx xxxxx xxxxxxxxx xx xxxxx, xxxxx x xôxxxxxx xxxxxxxxx xxxx xxxxxxx, xx xx xxxxxxx, xxxxxxxx xxxxx xxxxxxxx xxxxxxxxx x xxxxxxx x čase xxxx xxxxx s xxx xxxx x xxxxxxxxxx xxxxx xxxxx, xxxxxx xxxxxx xxxxxxxxxx xxxxx xxx povinný xxxxxxxxxx výživu.

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Body XX. xx XIV. Vyplňte, xx xx xxxxxxxľ xxxx xxxxxx xxxxxxxxx xxxx a xxxx xx xxôxxxxxx xxxx xx xxxxxx.

XX. Xxxxxx xxxxx, xxxx xx xxxxxxxx xxxxxxxx, xxxxxxxxxx xxxx xx skončila xxxxxxxx xxxxxxxxxxx.

X. Xxxxxxx xxxxx xxxxxxxx xxxxxxxxxxx xx bolesť činí:

K xxxxxxxx xx musí xxxxxxxx xxxxxx ohodnotenie xx bolesť podľa xxxxxxxx č. 440/2001 Zb., xxxxx xxxxxxxľ získa od xxxxxx, ktorý xx xxxxxxxxx. Xxxxx lekársky xxxxxxx xxxx xxxxxxxxx xxxxxx xxxxxxxxxx vytrpenej xxxxxxx x bodové xxxxxxxxxx sťaženia xxxxxxxxxxxxx xxxxxxxxxx. Pripomíname, xx xxx xxxxx xxxxxx č. 209/1997 Zb. je xxxxxxxxxx xxx bodové xxxxxxxxxxx xxxxxxxxx xxxxxxx. Xxxľx xxxxxxxxxxx §6 xxxx. 2 xxxxxx x. 209/1997 Zb. xxxxxxx xxxxxxxxx' xxxxxxx pomoc, xx xxxxxx ohodnotenie xxxxxxxxx xxxxxxx xxxxxxxxxx xxxxxxxx 100 bodov.

XI. Xxxxxx, xx xxxxxxx x poskytnutie xxxxxxxx xxxxxx vo xxxxx xxxxxxxxx čiastky 25&xxxx;000.- Xx xxxxx xx xxxxxxxx výšku xxxxxx xxxxxxx x xxxxxxxx xx xxxxxxxx.

Xxxľx xxxxxxxxxxx §7 odst. 1 xxxx. a) xxxxxx x. 209/1997 Zb. xx xxxxxxx obete xxxxx poskytnúť xxxxxxx xxxxx xx xxxxx xxxxxxxxx xxxx 25&xxxx;000.- Xx, alebo xx xxxxx zodpovedajúcej xxxxxxxxxxx xxxxxxxx na liečenie x xxxxxx xxxxxxx. Xx sa xxxxxxxxxx xxxxxx o peňažnú xxxxx xx xxxxx xxxxxxxxx čiastky, xxxxxxxx xx vyplňovať xxxx XXX. - XIV. xxxxx xxxxxxxxx.

XXX. Xxxxxxx xxxxxxx x xxxxxxxx xxxxxx:

Xxx o xxxxxxx xx lieky, zdravotnícke xxxôxxx, náklady na xxxxxxxxxxxxx, xxxxxxxxx xxxxxx xxxxx xx xxxxx x xxxxxxxxxx xx xxxxxxxxxx, zvýšené xxxxxxx xx xxxxxxx, x xxx. pod podmienkou, xx xxxxx xxxxxxx xxxxxxxxx xxxxxxxxx. Tu xxxxxxx xxxxxxx sa xxxxx xxxxxxx, xxxx xx xx ministerstvo xxxxxxxxxxxxxx xxxxxx mócť xxxx xxxxxľ.

XXXX. Xxxxxxx xxxxxxxxx xxxxxx žiadateľa xxxx x xx xxxxxx ujmy xx xxxxxx xxôxxxxxxx xxxxxxxx xxxxx.

X xxxxxxxx pripojte xxxxxxx, xxxxx xxxxxxxxxx xxxxxxx skutočnosti.

V xxxxxxx, xx xxxxxxxľ xx x xxxxxxxxxxxxxx xxxxxx, xôxxx x xxxxxxxxxx xxxxxxxxxxxxľx o xxxxxxxxxx xxxxxxx xxxľx §351 x nasl. xxxxxx x. 262/2006 Zb., xxxxxxxx xxxxx, x xxxxx xxxxxxxxxx predpisov. Xx xx žiadateľ xxxxxx samostatne xxxxxxxxx xxxxxx, xxxxx xxxxxxxx xxxx xxxxxxxxx xxxx xxxxxxxxxx daňového xxxxxxxxx. Xx xxxxxxxľ xxxxxx xxxxxxxx dôchodok, xxxxxxxx, xxxxx xôxx xxxxxxx xxxxxxxx sociálnu xxxxxxxx, xxxx xxxxxxxxxx o xxxxx xxxxxxxxxx dôchodku. X xxxxxxx, že x xxxxxxxx xxxxxxxxx xôxxxx xxxxxxx xxxxxxx xxxxxxxxx pomery xxxxxxxľx, x krajnom prípade xx možné xxxxxxxx xxxxxxxxxx x nich xxxxxxx xxxxxxxxxx.

XXX. Uveďte xxxxx nemocenských dávok (xxxxxxxxxxx xôxxxxxx) x xxxx, xxxxxx xxx xxxxxxxľ xxxxxx, xx xxxxxxx xx vzniku xxxx xx zdraví, xxôxxxxxxx xxxxxxxx činom.

K xxxxxxxx xxxxxxxx xxxxxxxxxx xxxxxxxxxxxxľx alebo poisťovne x výške xxxxxxxxxxxx xxxxx. X prípade, xx x xôxxxxxx xxxxx xx xxxxxx xxôxxxxxxx xxxxxxxx xxxxx Xxx priznali xxxxxxxxx xôxxxxxx, xxxxxx x xxxxxxx xxxx xxxxx.

Xxxx majetkové pomery xx také, xx xxxxxxxx činom, ktorého xxx bol(a) obeťou, xx xxxx xxxxxxxx xxxxxxxx xxxxxxxx. Škodu, xxxxx xx xxxxx xxôxxxxx, xxxxxľ xxxxxx xxxxxxxx.

Xxxxxx xxxxxxxxxx, xx xxxxx xx peňažnú xxxxx xx xxxxxxx xxxxx xx xxxxxxxxxxx xxxx xxôxxxxxxx xxxxxxxx xxxxx xxx xxxxxxxxxx(x) x xxxxxxx xxxx xxxxx ako x Xxxxxx (Xxxxxxxxxx) xxxxxxxxx.

Xxxxxx xx xxxxxxx, xx xx xxxľx xxx. §12 zákona x. 209/1997 Zb., x xxxxxxxxxx peňažnej pomoci xxxxxxx xxxxxxxx xxxxxxxx x o zmene x o doplnení xxxxxxxxxx zákonov, v xxxxx xxxxxxxxxx xxxxxxxxx, xxxxxx povinnosť do xxxxxxx xxxxx xxx xxx, keď xx xxxxxxxx xxxxx, odviesť xx účet Ministerstva xxxxxxxxxxxxxx xxxxxxx, ktoré xxx dostal(a) ako xxxxxxx xxxxx, x xx xx xx xxxxx xxxxxxxxxxx pomoci. Xxxxxxx s tým xxxxxx xx xxxxxxx, xx xx xxxxxxxx xxxxxxxxxx xäxxxxxxx xxxx xôxxx xxxxxxxx Xxxxxxxxxxxx xxxxxxxxxxxxxx, aby xx x mene štátu xxxxxx práva xx xxxxxxxx xxxxxxxxxxx xxxxxx, xx moja sociálna xxxxxxxx xxxx taký xxxxxx xxôxxxxxxxx, xxxxxxx xxxxx škody, xxxxx xx spôsobili x xxxxx xxxxxxx, xxxxx xxx dostal(a).

Beriem xxxx xx xxxxxxx, xx xxxxxxxxx xxxxxxxx nesprávneho xxxxx neúplného xxxxx xx xxxx xxxxxxxxx xx xxxxxx získania xxxxxxxxxxxx výhody, xx xôxxx dopustiť priestupku xxxľx §21 odst. 1 písm. x) xxxxxx č. 200/1990 Xx., x xxxxxxxxxxxx, x xxxxx xxxxxxxxxx xxxxxxxxx.

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xxxxxx xxxxxxxľx xxxxx xxxxxxxx

- Ministerstvo xxxxxxxxxxxxxx Xxxxx republiky po xxxxxxx xxxxxxxx o xxxxxxxxxxx xxxxxxxx pomoci xxxľx xxxxxx č. 209/1997 Zb. xxxxxxx xxx xxxxxx x xxxxx xxxxxxxx xxxxx. Potom bude xxxxxxxxxx na xxxxxxx xx xx xxxx xxxxxxxx xxxxxx xxxľx xxxxxxxxxxx xxxxxxxxx xxxxxxx. Xx xxxxx xxxxxxxx xx podaní xxxxxxxx x xxxxxxxxxx potrebných xxxxxxxx xxx xxxxx xxxxxxxx xxxxx xxxxxxxľxxx xxxxxx xôxxxx, xxxxx xxxxx xxxxxxx poskynúť.

- X zmysle xxxxxx č. 209/1997 Zb. xxxx xxxxxxxľ xxxxxxxxxx xx xxxx xxx x prípade, xx xx x xôxxxxxx xxxxxxxxx činu xxxx spôsobené xxxxxxxxxx xxxxxxx. Nevyhnutnou, xxx xxxx xxxxxxxxxxxx xxxxxxxxxx xx xxxxxxxxx xxxxxxxx xxxxxx xxxxx xxxxx xx xxxxx xxxxxxxx xxxxxxxxxxx bolesti (nie xxxx xxxxxxxx xxxxxxxxxxxxx xxxxxxxxxx) xxxxxxxxxxxx aspoň 100 bodov. Xx xxxx xx považuje xx osoba xxxxxxxxx xx xxxxx, xxxxx x xôxxxxxx trestného xxxx zomrela, xx xxxx rodičom, manželom xxxxx dieťaťom xxxxxxxxx x xxxxxxx v xxxx xxxx smrti x ním xxxx x xxxxxxxxxx, alebo xxxxx, xxxxxx zomretý xxxxxxxxxx alebo bol xxxxxxx xxxxxxxxxx xxxxxx.

- Xxxxx č. 209/1997 Zb. x xxxxxxxxxx xxxxxxxxx xxxxxx xxxxxxx trestnej xxxxxxxx xxxxxxxxx xxxxxxxxxxx (xxxxxxxx) xxxx 1 xxxx xxx dňa, xxx xx obeť xxxxxxxxx x škode spôsobenej xxxxxxxx xxxxx. Ak xxxxx xxxx už xxx xx xxx xxxxxxxxx xxxxxxxxx xxxx, xxxx dokazuje xxxxxxx, xxxx sa xx xxxxx. Xxxxxxxxxxxx spravodlivosti xxxôxx xxxxxxxx žiadostiam x xxxxxxxxxxx xxxxxxxx xxxxxx, xxxxx xx xxxxxxxx xx xxxxxxxx xxxxxxxxxx lehoty.

- Pomoc xx na žiadosť xxxxx, ktorej x xôxxxxxx xxxxxxxxx xxxx xxxxxxx škoda xx xxxxxx, poskytne v xxxxxxxxx xxxx 25 000.- Xx xxxxx xx xxxxx, xxxxx predstavuje xxxxxxxxxx xxxxxx xx xxxxxxx, xxxxxxxxxx náklady xxxxxxx x xxxxxxxx, xxxxxxx x xxxxx xxxxxxxx xxxxxxx, ktoré xxxx z titulu xxxxxxx škody už xxxxxxx; xxxxx xx xxxxxx súčte xxxxxx xxxxxxxxxx xxxx 150 000.- Xx. Xx xxxx - po tom, xxx jej xxxxxxxx xxxxx - preukáže, xx xxx vzniknutá xxxxx je vyššia xxx xx, xxxxx xxxx xxxxxxxxx na xxxxxxxxxxx pomoci, na xxx žiadosť v xxxxxx xxxxxxxxxx xxxxx xxxxxxx jej xxxxx xxxxxxxxx pomoc xxäx, x xx až xx xxxxxxxxxx xxxxx 150&xxxx;000.- Xx; pričom xx prihliadne xx xxxxxxx, xxxxx už xxxx vyplatené.

- Xxxxxxxx xxxxx, xxxxx xx xxxxxxxxxx xx obeti, xxxxx x xôxxxxxx xxxxxxxxx xxxx xxxxxxx (xx xxxx rodičom, xxxxxxxx alebo xxxxxxxx xxxxxxxxx a zároveň x xxxx xxxx xxxxx s xxx xxxx x xxxxxxxxxx, xxxxx xxx xxxxxxx xxxxxxxxxx, či xxx xxxxxxx xxxxxxxxxx xxxxxx), xx poskytne xxxxxxx xxxxx x xxxxxxxxx xxxx 150 000.- Xx; xxxxx xx xxxxxx xxxxx nesmie xxxxxxxxxx xxxx 450 000.- Xx, x xx xx xxxxx obetí xxxx xxx xxx xxxxx, xxxxxxxxxxx čiastka sa xxx xxxxxx xxxxx xxxxxxxxx kráti.

- Zákon č. 209/1997 Zb. nenahradzuje inštitút xxxxxxxxxxx xxxxxxxxxxxxx vykonávateľa xxxxxxxxxx xxxxxxxx, xx xxxxx nadväzuje xxxxxxx xxxxxxx xxxxxxxxx zodpovednosti. Xxxxx xx xxxxxxxx x záležitostiach xxxxxxxxxx xxxôx xxxxxx subjekt, xxxxx xxxxxxxx xxxxxxxxx xxxxxxxxxxxxx, x xxxxxxxxxxx xxxxxxxxx xxxxxxx. Xxx x xxxxxx xxxxxxxxxxx xxxxxxxxx x xxxxxxxxxxxxx xx konkrétne xxxxxxxxx xxxxxxxxx xx možné xxxxxx ministerstvo xxxxxxxxxxxxxx x xxxxxxxxxxx peňažnej xxxxxx.

- Pripomíname, xx xx xxxxxxxxxx xxxxxxxx xxxxxx xxxxxxxx doklady x potvrdenia, na xxxxx xxxxxxxxxx pri xxxxxxxxxxxx xxxxxxxxx. Ak xxx xxxxxxxľ neučiní, xxxxxxxxxxxx xxxxxxxxxxxxxx nemôže xxxxxxx xxxxxxx. Ak xxxxxx potvrdenia a xxxxxxx ani xxxxxxxxx xxxxxx, xxxx xxxxxxxxxx xôxx byť xôxxxxx xxxxxxxxxxxxx xxxxxxxx xxxxxx xxxľx xxxxxx č. 209/1997 Zb. Xx xxxx xxxxxxxxxx xxxxxxx podať xxxx xxxxxxx.

- Upozorňujeme, že xx xxxx xxxxxxxľxxx xxxxxxxxxx xxxxxxx xxxxx, xxxxxxxľ xx do xxxxxxx rokov xxx xxx poskytnutia xxxxxx xxxxxxx na účet xxxxxxxxxxxx xxxxxxxxxxxxxx xxxx, xxxxx xxxxxx xxx xxxxxxx xxxxx (xx xxxxxxxľx, xxxxxxxxx x xxx.) xx do xxxxx poskytnutej xxxxxx. Xxxx xxxxxxxxx xxxx, xx xx xxxxx xxxxxxxxxx. Xx xxxxxxx xxxxxxxx obete sa xxxxxxxxxxxx spravodlivosti môže x mene xxxxx xx xxxxxxxx stanovenej xäxxxxxxx doby xxxxx xxxxx xx xxxxxxxx xxxxxxxxxxx peňažnej xxxxxx. Xx xxxxxx xxxxxx xxôxxxxxxx sociálna xxxxxxxx xxxxx, celková xxxxx xxxxx, xxxxx xxx xxôxxxxxx, x xxxxx xxxxxxx, xxxxx xxxx xxxxxxx.