Plné znění - 241/2006 Sb.

Xxxxxxxxxxxxx xxx xxx Xxxxxxxxxx xx Applications xxx xxx Xxxxxxxxx xx Xxxxxxxxx Support xx Xxxxxxx of Xxxxxxxx Xxxx xxxxxxxx xx Xxx No. 209/1997 Xxxx., on xxx xxxxxxxxx of xxxxxxxxx xxxxxxx xx xxx xxxxxxx xx criminal xxxx xxx xx xxxxxxxx xxxxxxx other xxxx, xx amended

Dear Xxx/Xxxxx,

Xx xxxxxxxxx for xxxxxxxxx xxx with xxxxxxxx xxxxxxxxx xx xxxx xxxxxxx xxxxxxxxx. Xxxxxxx, xxxxxxx xx xxxx xxxxxxxxxxxxx xx xxxxxxxx for the xxxxx xxxxxxxxxx xx xxxx xxxxxxxxxxx for xxx xxxxxxxxx of xxxxxxxxx xxxxxxx xxxxxxxx xx Xxx no. 209/1997. Thank xxx xxx xxxx xxxxxxxxxxx; xx xx highly xxxxxxxxxxx.

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X. Xxxxxx xxxxxxx xxxx in xxx xxxxxxxx data of xxx xxxxxxxxx - x.x. the xxxxxx xx the xxxxxxxx xxx who has xxxxxxxx bodily harm, xx xxx xxxxxxxx xx a xxxxxx xxx xxx xxxx xx xxxxxxxxxxx xx xxx xxxxxxxx xxx:

1. Xxxxxxx:

2. Given xxxx:

3. Xxxx xx xxxxx:

4. Xxxxxxxxx xxxxxxx:

5. Xxxx xxxxxxxx xxxxxxx (should xx xxxxxx xxxx xxx permanent xxxxxxx, xxxx):

6. Xxxxx Xxxxxx:

7. X-xxxx address:

8. Xxxxxxxxxxx:

XX. Xx xxx xxxxxxxxx xx represented by xxxxxxx xxxxxx ("representative") xx xxx basis xx xxxxxxxxx xxxxxxxxxxxxxx (xxx instance, x xxxxx xxxxx xxxxxxxxxxx xx his/her parent) xx on the xxxxx of x xxxxx xx xxxxxxxx, xxxxxx fill in xxx data xx xxxx xxxxxxxxxxxxxx:

1. Surname:

2. Xxxxx xxxx:

3. Xxxxxxxxx xx registered xxxxxxx:

Xx xxx xxxxxxxxxxxxxx is xxxxxx xxx xxxxxxxxxxx xx xxxxxx xx xxx xxxxxxxxx, xxxxxx xxxx submit x xxxxxxxx authorizing xxx/xxx xx xxxxxxxxx xxx xxxxxxxxx - x xxxx of a xxxxx xx xxxxxxxx (xxx xxxxxxxxxxx xxxxxxxxxxxxxx) xx x copy xx the xxxxx xxxxxxxxxxx (xxx xxxxxxxxx xxxxxxxxxxxxxx) xx xxx xxxxx xxxxxxxxxx xxxxxxxx.

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

1. Xxxxxxx:

2. Xxxxx xxxx:

3. Xxxx xx xxxxx:

4. Xxxx of xxxxx:

5. Last xxxxxxxxx xxxxxxx:

6. Xxxxxxxxxxx:

7. Xxxxxxxxxxxx xx xxx xxxxxxxx xx xxx xxxxxxxxx (x.x. xxxxxx, daughter, xx xxxxxxxxxx living xx xxxxxx household)

If xxx xxxxxxxxx xx x xxxxxxxx of x xxxxxx xxx xxxx in xxxxxxxxxxx xx xxx xxxxxxxx xxx, xxxxxx attach x copy xx xxx xxxxx certificate xxx xxx xxxxxxxxx xxxxxxx xxxx xxx xxxxxxxx xxxxxxxxx or xxx xx xxxxxxxxxx xx xxxxxxx the xxxxxxxx (in the xxxx xx x xxxxxx-xxxxx relationship, such xxxxxxxxx xxxxxxx xxxxx xxxxxxxxxxxx xx a xxxxx xxxxxxxx xx xxx xxxxxxxxxx to xxxxxxx xxx xxxxxxxxx; xx xxx xxxx xx xxxxxxx couples, xxxxxx xxxxxx x xxxxxxxx certificate).

Xxxxxx xxxxxxx xxx xxxx xx which xxx xxxxx xxx xxxxxxxxx and, xx xxx xxxxxx xxxxxxx xxxxx xxx consequences xx the xxxxx xx x xxxxx xxxx, xxxxxx xxxx xxxxxxx xxx xxxx xxx the xxxxxx xx xxxxx xxx xxxxxx xxxxxxx xx xxxx consequences (x.x., xxx date of xxx xxxxxxx report).

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

Xx xxxxxxxxx, xxxxxx attach xxx latest xxxxxxxx xx xxx abovementioned xxxxxxxx justice xxxxxxxxx xxxxx xxxxx xxxxxxxx xxx xxxxx xx xxx respective xxxxxxxxxxx (x.x. xxxxxxxxxx xx xxx xxxxxxxxxxxxxxx xx xxxxxxxx prosecution, xxxx xx xxx indictment, xxxxxxxxx - xxxxx xx xxxxxxxxx).

According xx the xxxxxxxxxx xx §8 xx Xxx no. 209/1997, xxx amount xx xxxxxxxxx support xxx xx reduced xx xxxxxxxx depending xx xxxxxxx the xxxxxx xxx made xxx xx xxx xxxxx xxxxxxxx to xxxxxxx x xxxxx xxx xxxxxxxxxxxx xxxxxxx xxx xxxxxxxx xx xxx xxxxx xxxxxx xxxxxxxxxxx xxx xxx harm xxxxxxxx. Xx xxx xxxx xx xxxx xxxx xx xxx xxxxxxxx has not xxxx xxxxxxxxxx.

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Xxxx in xxxx XxXx xx xxx xxxxxxxxx is x xxxxxxxx xx xx xxxxxxxxxx xxx xxx xxxx xx xxxxxxxxxxx of the xxxxxxxxx xxxxx.

1. Xxx xxx x xxxxx, xxxxxx xx xxxxx xx xxx xxxxxx who xxxx xx xxxxxxxxxxx xx xxx xxxxxxxx xxxxxxx?

2. Xxx xxx live xx a xxxxxx xxxxxxxxx with xxx xxxxxxxx xxxxxx prior xx the xxxxxxxxxx xx xxx crime?

3. Xxxx you a xxxxxxxxx xx the xxxxxx xx xxx xxx xxxxxxxx xxxxxxx xx support you?

4. Xx xxx other xxxxxxx meet the xxxxxxxxxx xxxxxxxxx xx xxxxxxx 1 xx 3? Xxxxxx xxxx xxxxx number, xx xxxxx xx you.

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According xx xxx xxxxxxxxxx xx §2, xxxxxxx 2 xx Xxx xx. 209/1997, a xxxxxx who xx x xxxxxxxx of x victim xxx xxxx xx consequence xx x criminal xxx xx xxxxxxxxxx xx xx a xxxxxx if he xx xxx xx x xxxxxx, xxxxxx xx xxxxx xx xxx xxxxxxxx xxx xxxxx xxxx him xx xxx xx xxx xxxx household xx xx xxx xxxxxx was x xxxxxxxxx xx the xxxxxxxx or xxx xxxxxxxx xxx required xx xxxxxxx xxx xxxxxx.

Xx xxx xxxxxxxxx xx the victim xx x xxxxx xxx xxx xxxxxxxx xxxxxx xxxx, xxxxxx xxxx xx xxxxx XX - XIV.

Xxxxxx xxxxxx x point-based assessment xx xxxx xxx xxxxxxxxx xxxxxxxx to Xxxxxx Xx. 440/2001 Xxxx. Xxx respective xxxxxxxx xxxxxx xx xxxxxxxx from the xxxxxxxxx xxxxxxxxxxx for xxx xxxxxx'x xxxxxxxxx. Xxxx xxxxxxx xxxxxx xxxx xxxxxxx a xxxxx-xxxxx xxxxxxxxxx xx xxx xxx suffered xxx x point-based xxxxxxxxxx xx xxx xxxxxxxx xx the xxxxxx'x social xxxxxxxx. Xxxxxx xxxx xx xxxx that xxxx xxx xxxxx-xxxxx assessment xx xxx pam xxxxxxxx xx xxxxxxxx xxx the purposes xx Xxx no. 209/1997. Xxxxxxxxx to xxx xxxxxxxxxx xx §6, xxxxxxx 2 xx Xxx xx. 209/1997, xx xxxxxxxxx xxxxxxx xxxx xx xxxxxxxx xxxxxx xxx xxxxx xxxxxxxxxx xx xxx xxxx xxxxxxxx xx xx xxxxx 100 xxxxxx.

Xxx xxxxxx may obtain xxxx xxx xxxxxxxxx xxxxxxx in the xxxxxx of CZK 25,000 xx an xxxxxx xxxxx xx xxx xxxxxx costs xx medical xxxxxxxxx xxx xxxx income (§7, xxxxxxx 1, xxxxxx x xx Xxx Xx. 209/1997 Xxxx.). xx xxx xxxxxx xx xxxxx xxx x lump xxx payment, there xx no xxxx xx fill xx xxxxx XII - XxX.

This xxxxxxxx xxx xxxxxxxx for xxxxxxxxxx, xxxxxxxx xxxxxxxxx, xxxxxxxxxxxxxx xxxxx, xxxxxx xx xxxxxxxxx to xxxx xxx xx xxx home xx xxxx medical xxxxxxxxx, xxxxxxxxx xxxxxxxxxxxxxx xxxxx xxx., xxxxxxxx xxxx xxxxx xxxx not xxxx paid xx xx xxxxxxxxx xxxxxxx. xx such xxxxxxxx xxx xxx xxxxxx xx xxxxxxxxxxx xxxxxxxx, xxx Xxxxxxxx xx Xxxxxxx xxx xxx xxxx xxxx xxxx xxxxxxxxxxxxx.

Please xxxxxx xxx documents xxxxxxxxxx xxxx xxxxx xx xxx application.

If xxx xxxxxxxxx xx xx xxxxxxxx, these documents xxxxx xxxxxxx x xxxxxxxxx from xxx/xxx xxxxxxxx xxxxxxxxxx the xxxxxxx salary according xx §351 et. xxx. xx Act xx. 262/2006, the Xxxxx Labour Code, xx amended. xx xxx xxxxxxxxx xx xxxx-xxxxxxxx, xxxx document xxxxx be x xxxx xx xxx/xxx xxxx xxxxxx xxx xxxxxx. xx xxx xxxxxxxxx xx x xxxxxxx person xxx xx xxxx xx xxxxx xxx/xxx xxxxxxxx xxxxxx standing, xxxxxx xxxxxx x xxxxxxxx xxxxxxxxxx xxx amount xx the xxxxxxxxxx xxxxxxx. xx for xxx xxxxxx the xxxxxxxxx'x income xxxxxxxxx xxxxxx xx proven, xx xxxxxxxxxxx xxxxx xx xxxxxxxxx may xx xxxxxxxx.

My xxxxxx xxxxxxxx has xxxx xxxxxxxx xx x xxxxxx of xxx criminal xxx xx which X xxx a xxxxxx. X have xxx xxx xxxx xxxxxxxxxxx xxx xxx xxxx 1 have suffered xx x xxxxxx xx xxx xxxxxxxx xxx.

X xxxxxx xxxxxx xxxx X xxxx xxx lodged xxx xxxxx for xxxxxxxxx xxxxxxx xx any xxxxxxx xxxxx xxx xxxxxxxxxxxx xxx xxx xxxx suffered xx x xxxxxx of xxx xxxxxxxx xxx xx any xxxxxxx xxxxx xxxx xxx Xxxxx Xxxxxxxx.

X xxxxxxxxxxx xxxx xxxxxxxxx to §12 xx Xxx Xx. 209/1997 Coll., xx the xxxxxxxxx xx xxxxxxxxx xxxxxxx xxx the xxxxxxx xx xxxxxxxx xxxx xxx on xxxxxxxx xxxxxxx other xxxx, xx xxxxxxx, X xx xxxxxxx to xxxxxxxxx xxx Xxxxxxxx xx Xxxxxxx any xxxxxx received xx xxxxxxxxxxxx xxx the xxxx suffered, xx xx xxx amount xx xxx financial xxxxxxx, xxxxxx five xxxxx xxxx the xxxx xx xxxxxxxxx xxx funding support. X also xxxxxxxxxxx xxxx, after xxx xxxxx of xxx xxxx-xxxx xxxxxx, X xxx file xx xxxxxxxxxxx asking the Xxxxxxxx of Justice xx xxxxx xxx xxxxx'x xxxxx xxx xxx xxxxxx xx xxx xxxxxxxx xxxxxxx, xxxxxx xxxx x xxxxxx be xxxx xxxxxxxx xx xx xxxxxx xxxxxxxx, the xxxxx extent of xxxx xxxxxxxx xxx xxx xxxxxx xx xxxxxxxxxxxx xxxxxxxx.

X xxxx xxxxxxxxxxx xxxx xxxxxxxxxxx xxxxxx xxxxx or xxxxxxxxxx xxxxxxxxxxx or xxxxxxxxxxx information for xxx purposes of xxxxxxxxxxxxx xxxxxxx benefits xxx represent an xxxxxxx xxxxxxxx xx §21, section 1, xxxxxx x) of Xxx xx. 200/1990 Xxxx., on xxxxxxxx xx xxxxxxx.

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Xxxxxxxxx of xxx applicant xx xxx/xxx xxxxxxxxxxxxxx

- Xxxx xxxxxxx xx the xxxxxxxxxxx for the xxxxxxxxx xx xxxxxxxxx xxxxxxx xxxxxxxx xx Xxx Xx. 209/1997, xxx Ministry of Xxxxxxx xxxxx xxxxxxx xxxxxxx xxx assign xx a xxxxxx xxxxxx. Subsequently, the Xxxxxxxx xxxxx xxxxxxxx xx xxxxxxxxxxxxx with xxx xxxxxx xx x similar xxxxxxxxx xx per the xxxxxxxx xxxxxxx xx xxx xxxx. Xxxxxx xxxxx xxxxxx xxxx xxx date of xxx receipt of xxx xxxxxxxxxxx xxx xxxxxxxxxx xx xxx xxxxxxxxx xxxxxxxxx, xxx Xxxxxxxx shall xxxxxx xxxxxxx the xxxxxxx xx inform xxx xxxxxxxxx xx xxx xxxxxxx why such xxxxxxx xxx been xxxxxxxx.

- The xxxxxxxxx xxxxx xx considered x xxxxxx xx xxx Xxx No. 209/1997 Xxxx. xxxx xx he/she xxx xxxxxxxx xxxxxx xxxx xx a result xx the commitment xx a crime. X necessary but xxx the xxxx xxxxxxxxx for the xxxxxx'x xxxxxxx xx xxxxxxxx support xxxxx xx xxx xxxxxx xx xxx xxxxx-xxxxx xxxxxxxxxx xx xxx xxx xxxxxxxx (xxx xxx weakening of xxxxxx position), which xxxx xx xx xxxxx 100 xxxxxx. Xxxxxxxxx xx x xxxxxx xxx xxx xxxx in consequence xx x xxxxx xxxxx xx xxxxxxxxxx xx xx x xxxxxx xx the xxxxxxxx xx a xxxxxx, spouse or xxxxx xx xxx xxxxxxxx xxx the xxxxxxxx xxxxxx x xxxxxxxxx xxxx the xxxxxxxx xx xxx xxxx of his/her xxxxx or xx xxx deceased supported xx was xxxxxxxx xx xxxxxxx xxx xxxxxxxx.

- Act Xx. 209/1997 Xxxx. xx xxx xxxxxxxxx xx xxxxxxxxx support xx xxxxxxx xx criminal xxxx xxxxxxxxxx x xxxxxxxxxx xxxx xx 1 xxxx xxxx xxx xxxx xx xxxxx xxx victim xxxxxxx xx xxx xxxx caused xx xxx xxxxx. Xx xxxx date xxxx xxx xxxxxxxx xxxx xxx xxxx of xxx xxxxxxxxxx of xxx crime, the xxxxxx xxxxx provide xxxxxxxx xx xxx xxxx on xxxxx xx/xxx xxxxxxx xx xxx xxxxxxxxxxxx. The Xxxxxxxx xx Xxxxxxx xxxxxx xxxx xx xxxxxxxxxxx for xxx xxxxxxxxx of xxxxxxxxx xxxxxxx xxxxxxxx xxxxxxx xxxxx xxx xxxxx xx xxx abovementioned xxxxxx.

- Financial xxxxxxx xx xxxxxxx xxx xx a xxxxxx xxx has xxxxxxxx xxxxxx harm as x xxxxxx of xxx xxxxxxxxxx of x xxxxx xxx xx xx xxx xxxx xx x xxxx sum xxxxxxxxx xx CZK 25,000 xx xx xxxxxx xxxxx xx xxxx xxxxxx or xxx xxxxx of medical xxxxxxxxx xx proved xx xxx xxxxxx, xxxxxxx xx xxx xxxxxx xxxxxxxxxx paid xx xxx xxxxxx xx xxxxxxxxxxxx xxx xxx harm xxxxxxxx. Xxx xxxxx xxxxxx xx xxxx xxxxxxx xxxx not xxxxxx XXX 150,000. Xx, xxxxx the provision xx xxxxxxx, xxx xxxxxx proves xxxx xxx xxxx xxxxxxxx xxxxxxx xxx xxxxxx xxxxxxxx, the victim xxx receive xxxxxxxxxx xxxxxxx xx xx xxx amount of XXX 150,000 if xx/xxx xxxxxxx xxx xx xxxxxx xxx xxxxxxxxxxxxxx xxxxxx of xxxx (x.x., 1 xxxx xxxx the xxxx on xxxxx xxx xxxxxx xxxxxxx xx the xxxx xxxxxx xx xxx xxxxx); xx xxxx xxxx, xxx xxxxxxx xxxxxxx xxxx xxxx xx taken into xxxxxxx.

- Xx individual xxx is x xxxxxxxx xx x xxxxxx xxx has xxxx xx a xxxxxx xx xxx xxxxxxxxxx of x xxxxx (x xxxxxx, xxxxxx xx xxxxx xx the xxxxxxxx xxxxxx xx a xxxxxx household with xxx xxxxxxxx at xxx time xx xxx/xxx death or xxxxxxxxx xx xx xxxxxxxx xx xx xxxxxxxxx xx the xxxxxxxx) xxxxx xx xxxxxxxx with x xxxx sum xxxxxxxxx xx CZK 150,000. Xxx xxxxx xxxxxx xxxxxxxx xx financial xxxxxxx xxxxx not xxxxxx CZK 450,000; xxxxxx xxx xxxxxx xx xxxxxxx exceed xxxxx, xxx xxxxxx xxxxxxxx xxx victim xxxxx xx reduced xxxxxxxxxxx.

- Xxx Xx. 209/1997 Xxxx. does xxx replace the xxxxxxxxx xx xxx xxxxxxxxx xxxxxxxxx xx xxxxxxxxx xx motor xxxxxxxx xxxxxxx xx xxxxxxxxxx liability xxxxxxxxx. Xx xxxxxxx xxxxxxx xx traffic xxxxxxxxx, xxxxxxxxxxxx xxx xxxxxxxxx xxxxxxxx xxxxxx thus xx directed xx xxx xxxxxxxx xxxxxxxxx xxxx liability insurance. Xxxx in xxxxxxxx xxxxx, xx view xx xxxxxxxxxxx xxxxxxxxxxxxx, xxx an xxxxxxxxxxx xxx xxx provision xx xxxxxxxxx xxxxxxx xx filed xxxx xxx Xxxxxxxx of Xxxxxxx.

- Please xxxx xx xxxx xxxx xxx available documents xxx xxxxxxxxxxxxx xxxxxxxx xxx xxx xxxxxxxxxx xxxxx xxxx xx xxxxxxxx xx xxx xxxxxxxxxxx. Xx the xxxxxxxxx fails to xx xx, xxx Xxxxxxxx xx Xxxxxxx xxxxxx xxxxxxxx process xxx application. Xxxxxx xxx applicant fail xx deliver xxx xxxx xxxxxxxxx xxx xxxxxxxxxxxxx xxxx xxxxxx x xxxxxxxxxxxxx deadline, xxxx xxxx may xxxxxxx x xxxxxxxx xx xxxxxxxx xxx xxxxxxx xx per Xxx No. 209/1997 Xxxx. Xxxx xxxxx xxx, however, xxxxxxxxx xxx xxxxxx xx xxxxxxx application.

- Xxxxxx xxxx xx xxxx xxxx xxx applicant xxxxx xx obliged xx xxxxxx any xxxxxxxxx amount xxxxxxxx xx compensation for xxxx (xxxx xxx xxxxxxxx, insurers xxx.) xx xxx xxxxxxx xx xxx Xxxxxxxx xx Justice xx xx xxx xxxxxx xx the xxxxxxx xxxxxxxx. This obligation xxxx xxx xxxxx xx xx/xxx xxx xxx xxxxxxxx any xxxxxxxxxxxx. If so xxxxxxxxx xx xxx xxxxxx xx xx xxxxxxxxxxx, xxx Xxxxxxxx xx Xxxxxxx xxx xxxxx xxx xxxxx'x xxxxx to xxxxx xxx return xx xxx financial xxxxxxx xxxxxxxx after xxx xxxxx xx xxx xxxx-xxxx xxxx, xxxxxxxx xxxx x xxxxxx xx xxxxxxxxx xx xxx xxxxxx'x xxxxxx xxxxxxxx, the total xxxxxx xx the xxxx suffered xxx xxx xxxxxx xx xxxxxxxxxxxx xxxx xx xxx victim.

Vážený xxx/xxxx/xxxxxx

Xxxxxxxxxxxxxxx xx, že x xxxxxxxx, v xxxxxx xx xxxxxxxxxx, sme xxxxxx Xxx xxxxxxxxx xxxxxxxxxxxx xxxxxxxx. X xxxxxx xxxxxxxx xxxxxxxxx Xxxxx xxxxxxxx x xxxxxxxxxxx xxxxxxxx pomoci xxxxxxx xxxxxxxx činnosti xxxľx xxxxxx č. 209/1997 Zb., xx však xxxxxxxxx xxxxx xxxxxxxxx xxxxxxxxxx. Xxxxxxxx Vám xx xxxxxxxxxx, xxxxx si xxxxx xxxxxx.

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X. Xxxxxx, xxxxxxx xxxxxxľxx osobné xxxxx x xxxxxxxľxxx - xxxxx xxxxxxxxx xxxx, xxxxxx spôsobili xxxx xx xxxxxx, xxxxx xxxxx pozostalej xx osobe, xxxxx x xôxxxxxx xxxxxxxxx xxxx xxxxxxx:

1. Priezvisko:

2. Xxxx:

3. Xxxxx xxxxxxxxx:

4. Xxxxxx trvalého xxxxxx:

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

6. Xxxxxxx:

7. X-Xxxx:

8. Xxxxxxxxxx:

XX. Xx xxxxxxxľx xxxxxxxxx xxx xxxxx (xxxxxxxx) na xxxxxxx xxxxxxxxx zastúpenia (xxxx. xxxxxxxx xxxxx xxxxxx xxxxxxx) xxxxx xx xxxxxxx dohody x plnej moci, xxxxxxx xxxxx o xxxxxxxxxx:

1. Priezvisko:

2. Meno:

3. Xxxxxxxxxxxxxx xxxxxx:

Xx xxxxxxx xx xxx xxxxx, xxxx xx xxxxxxx xxxxxxxxxx, xxxxx zastúpenie xxxxxxx. Xxxxx x xxxxxxxx xxxxxxxx kópiu xxxxx xxxx (xxx xxxxxxxx xxxxxxxxx) alebo xxxxx xxxxxxx xxxxx (x prípade zákonného xxxxxxxxxx) alebo xxx xxxxxxx xxxxxxx.

XXX. Xx xxxxxxxľ alebo xxxxx xxxxxxxxx xx xxxxx, xxxxx x dôsledku xxxxxxxxx xxxx xxxxxxx, xxxxxxx, xxxxxx, xx xxxxx x umretej xxxxx:

1. Xxxxxxxxxx:

2. Xxxx:

3. Xxxxx narodenia:

4. Dátum xxxxxx:

5. Xxxxxxxx bydlisko:

7. Xxxxxxxxxx:

8. V xxxx xxxxxx bola xxxxxxx xxxxx x xôxxxxxx xxxxxxxxx činu k xxxxx xxxxxxxľx (xxxx, xxxxx, xxxxx žijúca x xxxxxxxxx xxxxxxxxxx):

Xx xx xxxxxxxľ xxxxxx xxxxxxxxxx po osobe, xxxxx x dôsledku xxxxxxxxx činu xxxxxxx, x žiadosti xx xxxx xxxxxxxx kópia xxxxxxxx listu x xxxxxxx, xxxxx xxxxxxxxx xxxxxxxxxx, xx umretá xxxxx xxxxxxxxxx pozostalú xxxxx alebo xxxx xxxxxxxxx ju vyživovať (xx vzťahu xxxxx - dieťa pôjde x xxxxx list xxxxx xxxxxxxxxxx súdu x xxxxxxxxxxx povinnosti, xxx xxxxxxxx xxxxx xxxxxxxx bude xxxxxxx xxxx a pod.)

IV. Xxxxxx, či xxxxxxx xxxxxxxx peňažnú xxxxx xxxxxxxxxxxxxxx xxxxx xxxxx xxxxxxxx xx xxxxxxx xxxx; v xxxxx xxxxxxx xxxxxxx xxxxxxx xxxxx Vášho účtu.

V. Xxxxxx xxxxx, xxxx xx xxxx xxxxxxxxx x xxxxx spôsobenej xxxxxxxx xxxxx.

Xxxxxx xxxxx xxxxxxxxx xxxxxxxxx xxxx x xx sa xxxx x xxxxx xxx xxôxxxxxxx dozvedela xx xxxxôx, xxxxxx xxxx x xxx (xxxxxxxxx x xxxxxxxxx xxxxxx - dátum xxx vystavenia).

VI. Xxxxxxx xxxxx xxxxx v xxxxxxxx konaní (xxxxxxxxx xxxxx, xxxxxx xxxxxxxxxxxxxx, xxx), ktorý xxxxxxxxx xxxxx xxxxxxx o xxxxxxxx xxxx. Xxxxxx xx spisovú značku, xxx xxxxxx prebieha xxxxxxxxxxxx.

Xx xxxx x xxxxxxxxxx xxxxxxxx xxxxxxxxxxx xxxxxx xxxxxxx x xxxxxxxx xxxxxx, xxxxx xxxx xxxxxxxxx x xxx, v xxxx xxxxxx xx vec xxxxxxxx (napr. uznesenie x xxxxxxxx trestného xxxxxxxx, xxxx xxxxxxxx, xxxxxxxx - i xxxxxxxxxxxxx), pripojte xx x xxxxxxxx.

XXX. Xxxxxx, xxxx spôsobom xxx xxxxxxxxx xxxxx na xxxxxxx xxxxx xx xxxxxxxľx xxxxx inej xxxxx, xxxxx xxxxxxxxx xx xxxxx.

Xxxľx ustanovenia §8 zákona x. 209/1997 (Xx)., peňažitá xxxxx sa xôxx xxxxxx xxxxx xx xxxxxxxx x xxxxxxxxxxxxx xx xx, xx xxxx xxxxxxx xxxxxx xxxxxxx xxxxxxxxxxx xx xxxxxxxxxx nároku na xxxxxxx xxxxx xx xxxxxxxľx xxxxx inej xxxxx, xxxxx xxxxxxxxx xx xxxxx. Xxxxx xxx xxxxxxxxxxx, xx xxxxxxxľx trestného xxxx xxxxxxxxx.

Xxx XXXX. Xxxxxxx, xx xxxxxxxľ xx xxxxxxxxxx po xxxxx, xxxxx x xôxxxxxx xxxxxxxxx činu xxxxxxx.

XXXX. Xxxxxx, či xxx xxxxxxx osobou, ktorá xxľxx xxxxxxxxx xxxxxxx x §2 xxxx. 2 xxxxxx x. 209/1997 Xx., xxxxxxxx xxľxx osôb xxľxx xxxxx podmienky, xx xx Xxx xxxxx xxxxxxxxxxx xxxxx.

1. Xxxx xxx xxxxxxx, xxxxxxxx xxxxx xxxxxxxx osoby, xxxxx xxxxxxx x xôxxxxxx trestného činu?

2. Xxxx xxx s xxxxxx xxxxxxxxx xxxx xxxx xxxxxxxxx xxxxxxxxx xxxx x xxxxxxxxx xxxxxxxxxx?

3. Xxxxxxxxxxx Xxx xxxx xxxxxxxxx xxxx xxxxxx, či xxxx x tomu xxxxxxx?

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

Podľa xxxxxxxxxxx §2 xxxx. 2 xxxxxx x. 209/1997 Xx. xx xx obeť xxxxxxxx xxxxx xxxxxxxxx xx xxxxx, xxxxx x xôxxxxxx trestného xxxx xxxxxxx, xx je xxxxxxx, manželom xxxxx xxxxxxxx zomretého a xxxxxxx x xxxx xxxx smrti x xxx žila x xxxxxxxxxx xxxxx xxxxx, xxxxxx nebohý poskytoval xxxxx xxx povinný xxxxxxxxxx xxxxxx.

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Xxxx IX. xx XXX. Vyplňte, xx sa žiadateľ xxxx obeťou trestného xxxx a xxxx xx xxôxxxxxx ujma xx xxxxxx.

XX. Uveďte xxxxx, xxxx sa xxxxxxxx xxxxxxxx, respektíve xxxx xx xxxxxxxx xxxxxxxx xxxxxxxxxxx.

X. Xxxxxxx xxxxx xxxxxxxx ohodnotenia xx bolesť xxxx:

X xxxxxxxx xx xxxx xxxxxxxx bodové xxxxxxxxxxx xx xxxxxx xxxľx xxxxxxxx č. 440/2001 Zb., xxxxx xxxxxxxľ získa od xxxxxx, ktorý xx xxxxxxxxx. Tento xxxxxxxx xxxxxxx xxxx obsahovať xxxxxx hodnotenie xxxxxxxxx xxxxxxx x xxxxxx xxxxxxxxxx xxxxxxxx xxxxxxxxxxxxx xxxxxxxxxx. Xxxxxxxxxxx, xx xxx xxxxx xxxxxx č. 209/1997 Zb. xx xxxxxxxxxx xxx xxxxxx xxxxxxxxxxx xxxxxxxxx bolesti. Podľa xxxxxxxxxxx §6 odst. 2 xxxxxx x. 209/1997 Zb. xxxxxxx xxxxxxxxx' xxxxxxx xxxxx, xx xxxxxx xxxxxxxxxxx xxxxxxxxx xxxxxxx xxxxxxxxxx xxxxxxxx 100 xxxxx.

XX. Xxxxxx, xx xxxxxxx x poskytnutie peňažnej xxxxxx xx xxxxx xxxxxxxxx čiastky 25&xxxx;000.- Xx xxxxx xx xxxxxxxx xxxxx xxxxxx xxxxxxx x xxxxxxxx xx xxxxxxxx.

Xxxľx xxxxxxxxxxx §7 xxxx. 1 xxxx. x) xxxxxx x. 209/1997 Xx. xx žiadosť obete xxxxx poskytnúť peňažnú xxxxx xx výške xxxxxxxxx xxxx 25&xxxx;000.- Xx, alebo xx xxxxx zodpovedajúcej xxxxxxxxxxx xxxxxxxx xx xxxxxxxx x ušlému zárobku. Xx xx xxxxxxxxxx xxxxxx x xxxxxxx xxxxx xx xxxxx xxxxxxxxx xxxxxxx, xxxxxxxx xx xxxxxxxxx body XXX. - XXX. xxxxx dotazníka.

XII. Xxxxxxx xxxxxxx x liečením xxxxxx:

Xxx x xxxxxxx xx lieky, xxxxxxxxxxxx xxxôxxx, xxxxxxx xx xxxxxxxxxxxxx, xxxxxxxxx xxxxxx xxxxx xx pomoc x xxxxxxxxxx či xxxxxxxxxx, xxxxxxx xxxxxxx xx dopravu, a xxx. pod podmienkou, xx xxxxx xxxxxxx xxxxxxxxx xxxxxxxxx. Xx xxxxxxx xxxxxxx xx xxxxx xxxxxxx, xxxx xx xx xxxxxxxxxxxx xxxxxxxxxxxxxx xxxxxx xxxx xxxx zreteľ.

XIII. Xxxxxxx xxxxxxxxx xxxxxx xxxxxxxľx xxxx a xx xxxxxx xxxx xx xxxxxx spôsobenej xxxxxxxx xxxxx.

X xxxxxxxx xxxxxxxx xxxxxxx, xxxxx xxxxxxxxxx xxxxxxx xxxxxxxxxxx.

X prípade, xx xxxxxxxľ xx x zamestnaneckom pomere, xôxxx x xxxxxxxxxx xxxxxxxxxxxxľx o priemernom xxxxxxx xxxľx §351 x xxxx. zákona x. 262/2006 Zb., xxxxxxxx práce, x xxxxx xxxxxxxxxx xxxxxxxxx. Xx xx xxxxxxxľ xxxxxx samostatne xxxxxxxxx xxxxxx, xxxxx xxxxxxxx xxxx xxxxxxxxx xxxx xxxxxxxxxx xxxxxxxx xxxxxxxxx. Xx žiadateľ xxxxxx xxxxxxxx dôchodok, xxxxxxxx, xxxxx môže dokázať xxxxxxxx xxxxxxxx situáciu, xxxx xxxxxxxxxx x xxxxx xxxxxxxxxx xôxxxxxx. X prípade, xx x xxxxxxxx xxxxxxxxx xôxxxx xxxxxxx xxxxxxx xxxxxxxxx xxxxxx xxxxxxxľx, x krajnom prípade xx možné nahradiť xxxxxxxxxx o nich xxxxxxx vyhlásením.

XIV. Uveďte xxxxx nemocenských xxxxx (xxxxxxxxxxx xôxxxxxx) a xxxx, xxxxxx ich xxxxxxxľ xxxxxx, xx xxxxxxx xx xxxxxx xxxx na xxxxxx, xxôxxxxxxx xxxxxxxx xxxxx.

X xxxxxxxx xxxxxxxx xxxxxxxxxx xxxxxxxxxxxxľx xxxxx poisťovne x xxxxx nemocenských xxxxx. X prípade, xx x xôxxxxxx xxxxx xx zdraví xxôxxxxxxx xxxxxxxx xxxxx Xxx priznali xxxxxxxxx xôxxxxxx, xxxxxx x xxxxxxx xxxx xxxxx.

Xxxx xxxxxxxxx pomery xx xxxx, xx xxxxxxxx činom, xxxxxxx xxx xxx(x) obeťou, xx moja sociálna xxxxxxxx xxxxxxxx. Škodu, xxxxx xx takto 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 xxx x Xxxxxx (Slovenskej) republike.

Beriem xx xxxxxxx, xx xx podľa xxx. §12 xxxxxx x. 209/1997 Xx., x xxxxxxxxxx xxxxxxxx pomoci xxxxxxx xxxxxxxx xxxxxxxx x x xxxxx x o doplnení xxxxxxxxxx zákonov, x xxxxx neskorších predpisov, xxxxxx xxxxxxxxx xx xxxxxxx rokov xxx xxx, keď mi xxxxxxxx xxxxx, odviesť xx xxxx Xxxxxxxxxxxx xxxxxxxxxxxxxx čiastky, xxxxx xxx xxxxxx(x) ako xxxxxxx škody, x xx až xx xxxxx poskytnutej xxxxxx. Xxxxxxx s xxx xxxxxx xx xxxxxxx, xx po xxxxxxxx xxxxxxxxxx päťročnej xxxx xôxxx xxxxxxxx Xxxxxxxxxxxx xxxxxxxxxxxxxx, xxx sa x mene xxxxx xxxxxx práva na xxxxxxxx poskytnutej xxxxxx, xx moja xxxxxxxx xxxxxxxx bude xxxx xxxxxx xxôxxxxxxxx, xxxxxxx xxxxx xxxxx, xxxxx xx xxôxxxxxx a xxxxx xxxxxxx, ktorú xxx dostal(a).

Beriem xxxx xx vedomie, xx xxxxxxxxx uvedením xxxxxxxxxxx xxxxx xxxxxxxxx xxxxx xx jeho xxxxxxxxx xx účelom získania xxxxxxxxxxxx výhody, xx xôxxx xxxxxxxx priestupku xxxľx §21 xxxx. 1 xxxx. x) xxxxxx x. 200/1990 Xx., x priestupkoch, x xxxxx neskorších xxxxxxxxx.

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xxxxxx žiadateľa xxxxx xxxxxxxx

- Ministerstvo xxxxxxxxxxxxxx Xxxxx xxxxxxxxx po xxxxxxx žiadosti o xxxxxxxxxxx xxxxxxxx xxxxxx xxxľx xxxxxx č. 209/1997 Zb. xxxxxxx xxx xxxxxx x xxxxx poradové xxxxx. Xxxxx bude xxxxxxxxxx xx xxxxxxx xx na xxxx xxxxxxxx xxxxxx xxxľx xxxxxxxxxxx xxxxxxxxx xxxxxxx. Xx troch xxxxxxxx xx xxxxxx xxxxxxxx x predložení xxxxxxxxxx xxxxxxxx xxx pomoc xxxxxxxx xxxxx žiadateľovi xxxxxx dôvody, xxxxx xxxxx xxxxxxx xxxxxxxx.

- X zmysle xxxxxx č. 209/1997 Zb. bude xxxxxxxľ xxxxxxxxxx xx xxxx xxx x prípade, xx xx x xôxxxxxx trestného xxxx xxxx xxôxxxxxx xxxxxxxxxx xxxxxxx. Xxxxxxxxxxx, nie xxxx postačujúcou podmienkou xx xxxxxxxxx xxxxxxxx xxxxxx takej xxxxx xx xxxxx xxxxxxxx xxxxxxxxxxx bolesti (nie xxxx xxxxxxxx xxxxxxxxxxxxx xxxxxxxxxx) xxxxxxxxxxxx xxxxx 100 bodov. Xx xxxx sa xxxxxxxx xx osoba pozostalá xx xxxxx, xxxxx x dôsledku xxxxxxxxx xxxx xxxxxxx, xx xxxx xxxxxxx, manželom xxxxx dieťaťom xxxxxxxxx x xxxxxxx v xxxx xxxx xxxxx x ním žila x xxxxxxxxxx, alebo xxxxx, xxxxxx xxxxxxx xxxxxxxxxx xxxxx bol xxxxxxx poskytovať výživu.

- Xxxxx č. 209/1997 Zb. x xxxxxxxxxx peňažitej xxxxxx xxxxxxx trestnej xxxxxxxx xxxxxxxxx prekluzívnu (xxxxxxxx) xxxx 1 roka xxx xxx, keď xx xxxx xxxxxxxxx x xxxxx spôsobenej xxxxxxxx činom. Xx xxxxx xxxx xx xxx xx deň xxxxxxxxx trestného xxxx, xxxx xxxxxxxx xxxxxxx, xxxx xx xx xxxxx. Xxxxxxxxxxxx xxxxxxxxxxxxxx xxxôxx xxxxxxxx xxxxxxxxxx x xxxxxxxxxxx xxxxxxxx xxxxxx, ktoré xx xxxxxxxx xx uplynutí xxxxxxxxxx xxxxxx.

- Xxxxx xx xx žiadosť xxxxx, xxxxxx v xôxxxxxx trestného xxxx xxxxxxx xxxxx xx xxxxxx, poskytne x xxxxxxxxx xxxx 25&xxxx;000.- Xx xxxxx vo xxxxx, ktorá predstavuje xxxxxxxxxx xxxxxx na xxxxxxx, xxxxxxxxxx náklady xxxxxxx x liečením, xxxxxxx o súčet xxxxxxxx xxxxxxx, ktoré xxxx x xxxxxx xxxxxxx xxxxx xx xxxxxxx; xxxxx xx xxxxxx xxxxx nesmie xxxxxxxxxx xxxx 150 000.- Xx. Xx xxxx - xx xxx, xxx xxx xxxxxxxx xxxxx - xxxxxxxx, xx xxx xxxxxxxxx xxxxx xx xxxxxx xxx xx, xxxxx xxxx xxxxxxxxx na xxxxxxxxxxx xxxxxx, na xxx xxxxxxx v xxxxxx xxxxxxxxxx xxxxx xxxxxxx jej možno xxxxxxxxx xxxxx opäť, x xx xx xx xxxxxxxxxx xxxxx 150&xxxx;000.- Xx; xxxxxx xx xxxxxxxxxx na xxxxxxx, ktoré už xxxx vyplatené.

- Xxxxxxxx xxxxx, xxxxx je xxxxxxxxxx po obeti, xxxxx x xôxxxxxx xxxxxxxxx činu xxxxxxx (xx bola rodičom, xxxxxxxx alebo xxxxxxxx xxxxxxxxx x xxxxxxx x xxxx jeho xxxxx x ním xxxx v domácnosti, xxxxx xxx xxxxxxx xxxxxxxxxx, či bol xxxxxxx xxxxxxxxxx xxxxxx), xx xxxxxxxx peňažná xxxxx v paušálnej xxxx 150&xxxx;000.- Xx; xxxxx vo xxxxxx xxxxx xxxxxx xxxxxxxxxx xxxx 450 000.- Xx, x xx xx xxxxx xxxxx viac xxx tri osoby, xxxxxxxxxxx xxxxxxx xx xxx xxxxxx xxxxx xxxxxxxxx kráti.

- Xxxxx č. 209/1997 Zb. xxxxxxxxxxxx inštitút xxxxxxxxxxx zodpovednosti xxxxxxxxxxľx xxxxxxxxxx vozidiel, xx xxxxx xxxxäxxxx povinné xxxxxxx xxxxxxxxx xxxxxxxxxxxxx. Xxxxx je xxxxxxxx x xxxxxxxxxxxxxx xxxxxxxxxx xxxôx xxxxxx xxxxxxx, xxxxx xxxxxxxx xxxxxxxxx xxxxxxxxxxxxx, x xxxxxxxxxxx xxxxxxxxx plnenia. Xxx x celkom xxxxxxxxxxx xxxxxxxxx x xxxxxxxxxxxxx xx xxxxxxxxx xxxxxxxxx xxxxxxxxx je xxxxx xxxxxx xxxxxxxxxxxx spravodlivosti x xxxxxxxxxxx xxxxxxxx xxxxxx.

- Pripomíname, že xx xxxxxxxxxx xxxxxxxx xxxxxx dostupné xxxxxxx x xxxxxxxxxx, xx xxxxx xxxxxxxxxx xxx xxxxxxxxxxxx xxxxxxxxx. Xx xxx xxxxxxxľ neučiní, xxxxxxxxxxxx spravodlivosti xxxôxx xxxxxxx xxxxxxx. Xx xxxxxx potvrdenia x xxxxxxx xxx xxxxxxxxx xxxxxx, xxxx skutočnosť xôxx xxx xôxxxxx xxxxxxxxxxxxx xxxxxxxx xxxxxx xxxľx xxxxxx č. 209/1997 Zb. Xx však xxxxxxxxxx xxxxxxx xxxxx xxxx xxxxxxx.

- Upozorňujeme, že xx xxxx xxxxxxxľxxx xxxxxxxxxx xxxxxxx xxxxx, xxxxxxxľ xx xx xxxxxxx xxxxx xxx xxx xxxxxxxxxxx pomoci xxxxxxx xx účet xxxxxxxxxxxx spravodlivosti xxxx, xxxxx xxxxxx xxx xxxxxxx xxxxx (od xxxxxxxľx, xxxxxxxxx a xxx.) xx xx xxxxx poskytnutej xxxxxx. Xxxx povinnosť nemá, xx mu škodu xxxxxxxxxx. Na základe xxxxxxxx xxxxx xx xxxxxxxxxxxx spravodlivosti xôxx x mene xxxxx xx xxxxxxxx stanovenej xäxxxxxxx xxxx xxxxx xxxxx xx vrátenie xxxxxxxxxxx xxxxxxxx pomoci. Xx xxxxxx xxxxxx xxôxxxxxxx xxxxxxxx xxxxxxxx xxxxx, xxxxxxx xxxxx xxxxx, ktorú xxx xxôxxxxxx, x xxxxx xxxxxxx, xxxxx xxxx xxxxxxx.