57
Xxxxxxx MF
k poskytování xxxxxxxxx podle §39a xxxxxx x. 363/1999 Xx., x pojišťovnictví
Referent: Xxx. Kateřina Xxxxxxxxxx, xxx. 257&xxxx;042&xxxx;737
x-xxxx: Xxxxxxxx.Xxxxxxxxxx@xxxx.xx
X. x.: 328/123 510/2002 xx xxx 29. xxxxx 2002
X §39a xxxxxx x. 363/1999 Xx., x pojišťovnictví, xx xxxxxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxxxx xxxxx pojistných xxxxxxx xxxxxxxxxxx xxxxxxxxx, xxxxx xx xxxxxxxx x xxxxxxxxx xxxxxxx xxxxxxxxxx x xxxxxxxxxxx xxxxxxxxxx xxxxxx x xxxxx, xxxxxxx xxxxxxxxxx xxxxxxxxx v případě, xx dojde x xxxxxxx nebo jiné xxxxxxx, xxxxx je xxxxxxxxxx xxxxxxxx, xx xxxxxxx které xxx xxxxxxxx stav xxxxxxxxx xxxx nouzový xxxx.
Xxxxxxxxxxxx xxxxxxx vyhlašuje xxxxxx xxxxxxxxxx xxxxxxxxx takto:
1. Xxxxx XXX 1 - Xxxxxxxxx události (xxxxxxxxx) xxxxxx xxxx xxxxx předběžný. O xxxxxxxxx xxxx xxxxxxxxxx x předávání Xxxxxxxxxxxx xxxxxxx xxxxx pojišťovny xxxxxxxxxxx xxxxxxx.
XXX 1 - Xxxxxxxxx xxxxxxxx (xxxxxxxxx)
(xxxxx x ......)
Xxxxxxxxxx:
XXX:
Xxx:
Xxxxxxxx: xxxxxxx xxxx rozdělena xx xxx xxxxx, xxxxx sloupec je xxxxxxxx xxx xxx xxxxx
1. část výkazu
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Počet xxxxxxxxxx xxxxxxxx [xx] |
Xxxxx xxxx xxxxxxxxxx xxxxxx (xxxxxx podílu xxxxxxxxxxx) [xxx. Xx] |
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Xxxxx xxxxxxxxxx |
Xxxxxxxxx |
Xxxxxxxx |
xxxxxxxxxx xx x |
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xx. 1 |
xx. 2 |
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xx. 1 |
xx. 2 |
xx. 3 |
xx. 4 |
xx. 5 |
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Xxxxxxxxx xxxxxxxx (celkem) |
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- xxxxxxxxx xxxxxxxxxx |
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- pojištění xxxxx |
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- xxxxxxxxx motorových xxxxxxx |
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- xxxxxxxxx xxxxxxx |
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Xxxxxxxxx xxxxxxxx x xxxxxxxxxxx (xxxxxx) |
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- xxxxxxxxx majetku |
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- pojištění xxxxxxxxxx xxxxxxx |
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- xxxxxxxxx xxxxxxx |
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Xxxxxxxxx plodin a xxxxxx (xxxxxx) |
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Xxxxxx |
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2. xxxx xxxxxx
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Xxxxxxxxx xxxxxxxx xxxxxx [xxx. Xx] |
Xxxx xxxxxxxxx xxxxxxx xx xxxxxxxx xxxxxx [xxx. Xx] |
Xxxx xxxxxxxxxxx rezervy [tis. Xx] |
Xxxx xxxxx, xxxxxxx xxxxxxx jsou xxxxxxxxx xxxxxxx [xxx. Xx] *) |
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Xxxxxx |
x xxxx (xx sl. 6) |
xxxxxxx xx: |
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xxxxxxxxxx xxxxxx |
xxxxx xxxxxxxxxxx |
xx. 9 |
xx. 10 |
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sl. 6 |
xx. 7 |
xx. 8 |
sl. 9 |
xx. 10 |
xx. 11 |
sl. 12 |
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Xxxxxxxxx xxxxxxxx (xxxxxx) |
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- xxxxxxxxx xxxxxxxxxx |
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- pojištění xxxxx |
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- pojištění xxxxxxxxxx xxxxxxx |
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- xxxxxxxxx ostatní |
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Pojištění xxxxxxxx x xxxxxxxxxxx (xxxxxx) |
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- pojištění xxxxxxx |
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- xxxxxxxxx xxxxxxxxxx xxxxxxx |
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- xxxxxxxxx ostatní |
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Pojištění plodin x xxxxxx (celkem) |
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Celkem |
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*) xxxxxxxx xxxxx skladbu xxxxx, xxxxxxx xxxxxxx xxxx xxxxxxxxx xxxxxxx xxxxxxx xx xx. 9 resp. xx. 10
Xxxxxxxxxxx:
xxx:
x-xxxx:
2. Výkaz MV 1 - Xxxxxxxxx xxxxxxxx (xxxxxxx nebo xxxx pohromy) xxxxx xxxxxxxxxx zpracovávat a xxxxxxxx na základě xxxxxxx žádosti Xxxxxxxxxxxx xxxxxxx.
XX 1 - Xxxxxxxxx xxxxxxxx (xxxxxxx xxxx jiné xxxxxxx)
Xxxxxxxxxx:
XXX:
Xxx:
Xxxxxxxxxx xxxxxx:
Xxxxxxxxx xxxxx Xxxxx xxxxxxxxx:
Xxxx xxxxxxx xx xxxx xxxxxxx:
Xxxxxxxx: tabulka xxxx xxxxxxxxx na xxx xxxxx, xxxxx x xxxxx xxxxxxx xx xxxxxxxx pro xxxxxxx části
1. část xxxxxx
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Xxxxxxx xxxxxxxxxxx xxxxxxxxx Xxxxxxx xxxxxxxx xxxxxxxxxxxx xxxxxxxxxx xxxxxx: |
X8 |
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Xxxx |
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Xxxxx |
Xxxx |
xxxxxxxxxxx |
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xxxxxxxxxxx |
xxxxxxxxxxx |
xxxxxxxxxx |
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xxxx [xx] |
xxxx [xxx. Xx] |
xxxxxx [xxx. Xx] |
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xx. X |
xx. X |
xx. C |
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ř. 1 |
xxxxxxxx obslužnosti |
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ř. 2 |
xxxxxxxxx xxxxxxxxxxxxxxxxx x xxxxxxxxxx xxxxxx |
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x. 3 |
xxxxxxxxxxxxxx, sociálních x školských xxxxxx |
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x. 4 |
xxxxxxx |
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x. 5 |
xxxxxxxxxx xxxxx, xxxxxxxxxxx xxxxxxx, plynem, xxxxxxxxxxxxx xxxxxxxxxx, xxxxxxxxxxx, xxxx x xxxxxx xxx xxxxxxxxxx výrobu |
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ř. 6 |
xxxxxxxx odpadních xxx x xxxxxxxxx xxxxxxxxxxx xxxxxx |
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x. 7 |
xxxxxxxxx |
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x. 8 |
Xxxxxx |
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2. xxxx xxxxxx
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Xxxxxxx neživotních xxxxxxxxx Xxxxxxx xxxxxxxx xxxxxxxxxxxx xxxxxxxxxx xxxxxx: |
X9 |
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Xxxx |
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Xxxxx |
Xxxx |
xxxxxxxxxxx |
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xxxxxxxxxxx |
xxxxxxxxxxx |
xxxxxxxxxx |
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xxxx [xx] |
xxxx [xxx. Kč] |
plnění [tis. Xx] |
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xx. A |
sl. X |
xx. X |
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x. 1 |
xxxxxxxx xxxxxxxxxxx |
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x. 2 |
xxxxxxxxx xxxxxxxxxxxxxxxxx x xxxxxxxxxx xxxxxx |
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x. 3 |
xxxxxxxxxxxxxx, xxxxxxxxxx x xxxxxxxxx xxxxxx |
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x. 4 |
xxxxxxx |
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x. 5 |
xxxxxxxxxx xxxxx, elektrickou energií, xxxxxx, xxxxxxxxxxxxx xxxxxxxxxx, xxxxxxxxxxx, xxxx x xxxxxx xxx xxxxxxxxxx xxxxxx |
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x. 6 |
xxxxxxxx xxxxxxxxx xxx a xxxxxxxxx xxxxxxxxxxx odpadu |
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ř. 7 |
xxxxxxxxx |
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x. 8 |
Xxxxxx |
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3. část výkazu
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Odvětví xxxxxxxxxxx xxxxxxxxx Xxxxxxx xxxxxxxx xxxxxxxxxxxx xxxxxxxxxx xxxxxx: |
XXXXXX X8 + X9 |
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Xxxx |
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Xxxxx |
Xxxx |
xxxxxxxxxxx |
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xxxxxxxxxxx |
xxxxxxxxxxx |
xxxxxxxxxx |
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xxxx [xx] |
xxxx [xxx. Xx] |
xxxxxx [xxx. Xx] |
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xx. X |
xx. X |
xx. X |
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x. 1 |
xxxxxxxx xxxxxxxxxxx |
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x. 2 |
veřejných xxxxxxxxxxxxxxxxx x xxxxxxxxxx služeb |
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ř. 3 |
xxxxxxxxxxxxxx, sociálních x xxxxxxxxx xxxxxx |
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x. 4 |
xxxxxxx |
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x. 5 |
xxxxxxxxxx vodou, xxxxxxxxxxx xxxxxxx, xxxxxx, xxxxxxxxxxxxx xxxxxxxxxx, xxxxxxxxxxx, xxxx x xxxxxx xxx xxxxxxxxxx výrobu |
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ř. 6 |
odvádění xxxxxxxxx xxx x xxxxxxxxx xxxxxxxxxxx odpadu |
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ř. 7 |
xxxxxxxxx |
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x. 8 |
Xxxxxx |
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Xxxxxxxxx:
xxx:
x-xxxx:
Xxxxx:
Xxxxxx xxxxxxxxxxxx xxxxxxxx:
Xxxxxx xXX 1
Majetkem xxxxxxxxx xxxxxxxxxxxx xxxxxxxxxx xxxxxx xxxxxx xx xxxxxxx xx xxxxxxxxxxx xxxxxxxxx xxxx, xxxxx xxxxxxxxxxxxx xxxxxx xxxxxxx xxxxxxxxxxxx xxxxxxxxxxx, veřejných xxxxxxxxxxxxxxxxx x xxxxxxxxxx xxxxxx, xxxxxxxxxxxxxx, xxxxxxxxxx x xxxxxxxxx xxxxxx, xxxxxxx, zásobování xxxxx, xxxxxxxxxxx xxxxxxx, xxxxxx, xxxxxxxxxxxxx xxxxxxxxxx, xxxxxxxxxxx, xxxx x xxxxxx xxx živočišnou xxxxxx, xxxxxxxx odpadních xxx, xxxxxxxxx xxxxxxxxxxx xxxxxx (xxx. §2 xxxx. 5 zákona x. 12/2002 Sb., x xxxxxx pomoci při xxxxxx území xxxxxxxxxxx xxxxxxx xx xxxxx xxxxxxxx).
Xxxxxxx xxxxxxxxxxx xxxxxxxxx X8, X9
xxx přílohy xxxxxx č. 363/1999 Xx.
xx. X - xxxxx xxxxx xxxxxxxxxxx xxxx na xxxxxxx xxxxxxxxxx xxxxxxxxxxxx základních xxxxxx xxxxxx
xx. X - xxxxx xxxx xxxxxxxxxxx xxxx xx xxxxxxx sloužícímu xxxxxxxxxxxx xxxxxxxxxx xxxxxx vúzemí
sl. X - uvést xxxxxxxxx xxxx xxxxxxxxxx xxxxxx vyplaceného xxxxxxxxxxxx xx xxxxxxx xxxxxxxxx xxx. A xxxx. xx. B
Vykazované období - uvést xxxxxx, xx kterém xxxxx xxxx xxxxxxxxx xx xxxxxxx xxxx
Xxxxxxxxx území Xxxxx xxxxxxxxx - xxxxx xxxx xxxxx (xxx xxxxxxxxxxx xxxxxxx) xxxxxxxxx xxxxxxx xx xxxxx xxxxxxxx
Xxxx xxxxxxx xx xxxx xxxxxxx - xxxxx x xxxxx živelní či xxxxx xxxxxxx xx xxxxx (v xxxxxxx xxxxxxxx xxxxxxxxxxx xxxxxxxx - xxxxx xxxxxxx)
Xxxxxxx xxxxxx 32:
Xxx. Xxxxxx Xxxxxxxxxxx, XXx., x. x.