Plné znění - 241/2006 Sb.

Xxxxxxxxxxxxx xxx the Xxxxxxxxxx xx Applications xxx xxx Xxxxxxxxx xx Xxxxxxxxx Xxxxxxx to Xxxxxxx xx Xxxxxxxx Xxxx pursuant xx Xxx Xx. 209/1997 Xxxx., on xxx xxxxxxxxx xx xxxxxxxxx xxxxxxx xx xxx xxxxxxx xx xxxxxxxx xxxx and on xxxxxxxx certain xxxxx xxxx, xx amended

Dear Xxx/Xxxxx,

Xx xxxxxxxxx xxx xxxxxxxxx xxx xxxx xxxxxxxx xxxxxxxxx xx xxxx xxxxxxx xxxxxxxxx. Xxxxxxx, xxxxxxx in xxxx xxxxxxxxxxxxx is xxxxxxxx xxx the xxxxx xxxxxxxxxx of xxxx application xxx xxx provision of xxxxxxxxx support xxxxxxxx xx Act no. 209/1997. Thank xxx xxx xxxx xxxxxxxxxxx; xx xx highly xxxxxxxxxxx.

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X. Please xxxxxxx xxxx xx the xxxxxxxx data of xxx applicant - x.x. the xxxxxx xx the xxxxxxxx xxx xxx has xxxxxxxx xxxxxx harm, xx xxx xxxxxxxx xx x person xxx has xxxx xx xxxxxxxxxxx xx xxx criminal xxx:

1. Xxxxxxx:

2. Given name:

3. Xxxx xx birth:

4. Xxxxxxxxx xxxxxxx:

5. Mail xxxxxxxx xxxxxxx (should xx xxxxxx xxxx xxx xxxxxxxxx xxxxxxx, xxxx):

6. Phone Number:

7. X-xxxx address:

8. Nationality:

II. Xx xxx xxxxxxxxx xx represented xx xxxxxxx xxxxxx ("representative") xx xxx basis xx xxxxxxxxx representation (xxx xxxxxxxx, x xxxxx xxxxx xxxxxxxxxxx xx his/her xxxxxx) xx xx the xxxxx xx a xxxxx xx xxxxxxxx, xxxxxx fill in xxx xxxx of xxxx xxxxxxxxxxxxxx:

1. Surname:

2. Xxxxx xxxx:

3. Xxxxxxxxx xx registered xxxxxxx:

Xx xxx xxxxxxxxxxxxxx xx xxxxxx xxx application xx xxxxxx xx xxx xxxxxxxxx, please xxxx xxxxxx x xxxxxxxx xxxxxxxxxxx xxx/xxx xx represent xxx xxxxxxxxx - a xxxx of x xxxxx xx attorney (xxx contractual representation) xx x copy xx xxx xxxxx xxxxxxxxxxx (xxx xxxxxxxxx xxxxxxxxxxxxxx) xx any xxxxx xxxxxxxxxx xxxxxxxx.

XXX. Xx the applicant xx x xxxxxxxx xx a xxxxxx xxx xxx xxxx xx consequenee xx xxx xxxxxxxxxx xxxxxxxx xxx, please fill xx xxx xxxxxxxx xxxx xx the xxxxxxxx:

1. Xxxxxxx:

2. Xxxxx xxxx:

3. Date xx xxxxx:

4. Date xx xxxxx:

5. Xxxx xxxxxxxxx xxxxxxx:

6. Xxxxxxxxxxx:

7. Relationship xx xxx xxxxxxxx xx the applicant (x.x. father, daughter, xx xxxxxxxxxx xxxxxx xx xxxxxx xxxxxxxxx)

Xx xxx xxxxxxxxx is x survivor xx x person xxx xxxx in xxxxxxxxxxx xx xxx criminal xxx, xxxxxx attach x xxxx of xxx xxxxx xxxxxxxxxxx xxx any xxxxxxxxx xxxxxxx that the xxxxxxxx xxxxxxxxx or xxx xx obligation xx support xxx xxxxxxxx (in xxx xxxx xx a xxxxxx-xxxxx xxxxxxxxxxxx, such xxxxxxxxx xxxxxxx xxxxx xxxxxxxxxxxx xx x xxxxx xxxxxxxx xx xxx xxxxxxxxxx xx xxxxxxx xxx xxxxxxxxx; xx the xxxx xx xxxxxxx xxxxxxx, xxxxxx attach x xxxxxxxx xxxxxxxxxxx).

Xxxxxx specify xxx xxxx xx which xxx crime xxx xxxxxxxxx xxx, if xxx xxxxxx xxxxxxx xxxxx the xxxxxxxxxxxx xx the crime xx x xxxxx xxxx, please also xxxxxxx the date xxx xxx manner xx xxxxx the xxxxxx xxxxxxx xx xxxx xxxxxxxxxxxx (e.g., xxx xxxx of xxx xxxxxxx report).

VI. Xxxxxx xxxxxxx xxx xxxxxxxx justice authority (x.x. police, public xxxxxxxxxx'x office, court) xxxxx most recently xxxxxxxxx criminal xxxxxxxxxxx. Xxxxx xxx xxxxxxxxx xxxxxx xx xxx xxxx related to xxx xxxxxxxxxx xxxxxxxxxxx.

Xx xxxxxxxxx, xxxxxx xxxxxx xxx xxxxxx xxxxxxxx xx xxx abovementioned xxxxxxxx justice xxxxxxxxx xxxxx xxxxx xxxxxxxx xxx stage xx xxx xxxxxxxxxx xxxxxxxxxxx (x.x. resolution xx xxx xxxxxxxxxxxxxxx of xxxxxxxx xxxxxxxxxxx, xxxx xx the xxxxxxxxxx, xxxxxxxxx - final xx otherwise).

Xxxxxxxxx xx the provisions xx §8 of Xxx xx. 209/1997, xxx amount xx xxxxxxxxx xxxxxxx may xx xxxxxxx xx xxxxxxxx xxxxxxxxx on xxxxxxx xxx xxxxxx xxx xxxx xxx xx all xxxxx xxxxxxxx xx enforce x xxxxx xxx xxxxxxxxxxxx xxxxxxx xxx xxxxxxxx or xxx xxxxx xxxxxx responsible xxx the xxxx xxxxxxxx. Xx xxx xxxx xx xxxx xxxx xx xxx xxxxxxxx xxx not xxxx xxxxxxxxxx.

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Xxxx xx xxxx XxXx xx xxx xxxxxxxxx is x survivor xx xx xxxxxxxxxx who xxx xxxx xx xxxxxxxxxxx xx xxx xxxxxxxxx xxxxx.

1. Xxx xxx x xxxxx, xxxxxx or xxxxx of the xxxxxx who died xx consequence xx xxx xxxxxxxx offence?

2. Xxx xxx xxxx xx a common xxxxxxxxx xxxx xxx xxxxxxxx xxxxxx xxxxx xx xxx xxxxxxxxxx xx xxx crime?

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

4. Xx any other xxxxxxx xxxx xxx xxxxxxxxxx xxxxxxxxx xx xxxxxxx 1 to 3? Xxxxxx give xxxxx xxxxxx, xx xxxxx to xxx.

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Xxxxxxxxx xx xxx xxxxxxxxxx xx §2, xxxxxxx 2 xx Xxx xx. 209/1997, x xxxxxx xxx is x survivor xx x xxxxxx xxx xxxx xx consequence xx x xxxxxxxx xxx is xxxxxxxxxx xx xx x xxxxxx xx he xx xxx xx x parent, spouse xx xxxxx xx xxx deceased and xxxxx with xxx xx her xx xxx xxxx household xx xx the xxxxxx xxx x xxxxxxxxx of the xxxxxxxx xx the xxxxxxxx xxx xxxxxxxx xx support xxx xxxxxx.

Xx xxx xxxxxxxxx xx the xxxxxx xx x xxxxx xxx xxx suffered xxxxxx harm, xxxxxx xxxx xx items XX - XIV.

Xxxxxx xxxxxx x xxxxx-xxxxx xxxxxxxxxx xx xxxx xxx xxxxxxxxx xxxxxxxx xx Xxxxxx Xx. 440/2001 Xxxx. Xxx xxxxxxxxxx xxxxxxxx xxxxxx be xxxxxxxx xxxx xxx xxxxxxxxx xxxxxxxxxxx for xxx xxxxxx'x treatment. Xxxx medical xxxxxx xxxx xxxxxxx a xxxxx-xxxxx assessment xx xxx xxx xxxxxxxx xxx x point-based xxxxxxxxxx xx the xxxxxxxx of xxx xxxxxx'x social xxxxxxxx. Xxxxxx bear xx xxxx xxxx xxxx xxx xxxxx-xxxxx assessment xx xxx pam xxxxxxxx xx relevant xxx xxx xxxxxxxx xx Xxx no. 209/1997. Xxxxxxxxx xx xxx xxxxxxxxxx xx §6, section 2 xx Xxx no. 209/1997, xx xxxxxxxxx xxxxxxx xxxx xx xxxxxxxx xxxxxx xxx xxxxx assessment of xxx pain xxxxxxxx xx xx xxxxx 100 xxxxxx.

Xxx xxxxxx may obtain xxxx xxx xxxxxxxxx xxxxxxx xx xxx xxxxxx xx XXX 25,000 xx xx xxxxxx equal xx xxx xxxxxx xxxxx xx xxxxxxx xxxxxxxxx xxx xxxx xxxxxx (§7, xxxxxxx 1, xxxxxx x of Xxx No. 209/1997 Xxxx.). xx xxx xxxxxx xx apply xxx x lump xxx xxxxxxx, there xx no need xx fill xx xxxxx XII - XxX.

Xxxx xxxxxxxx xxx xxxxxxxx for xxxxxxxxxx, xxxxxxxx xxxxxxxxx, xxxxxxxxxxxxxx costs, xxxxxx xx xxxxxxxxx xx xxxx xxx xx xxx xxxx xx xxxx xxxxxxx xxxxxxxxx, xxxxxxxxx transportation costs xxx., xxxxxxxx such xxxxx have xxx xxxx xxxx by xx xxxxxxxxx xxxxxxx. xx xxxx xxxxxxxx xxx xxx xxxxxx xx documentary xxxxxxxx, xxx Xxxxxxxx of Xxxxxxx xxx not xxxx them into xxxxxxxxxxxxx.

Please xxxxxx xxx xxxxxxxxx confirming xxxx facts xx xxx application.

If xxx xxxxxxxxx is xx xxxxxxxx, xxxxx documents xxxxx include a xxxxxxxxx from xxx/xxx xxxxxxxx xxxxxxxxxx the xxxxxxx xxxxxx xxxxxxxxx xx §351 et. xxx. of Xxx xx. 262/2006, xxx Xxxxx Xxxxxx Xxxx, xx xxxxxxx. lf xxx applicant xx xxxx-xxxxxxxx, such xxxxxxxx xxxxx be a xxxx of his/her xxxx xxxxxx xxx xxxxxx. xx xxx xxxxxxxxx xx a xxxxxxx xxxxxx xxx xx able xx xxxxx his/her impaired xxxxxx xxxxxxxx, please xxxxxx a xxxxxxxx xxxxxxxxxx xxx xxxxxx xx xxx xxxxxxxxxx xxxxxxx. lf xxx xxx xxxxxx xxx xxxxxxxxx'x xxxxxx situation xxxxxx be proven, xx xxxxxxxxxxx cases xx xxxxxxxxx may xx xxxxxxxx.

Xx xxxxxx standing xxx xxxx impaired xx x xxxxxx xx xxx criminal act xx xxxxx I xxx x xxxxxx. X have not xxx xxxx xxxxxxxxxxx xxx xxx xxxx 1 have xxxxxxxx xx a result xx xxx criminal xxx.

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

X xxxxxxxxxxx xxxx xxxxxxxxx to §12 of Act Xx. 209/1997 Xxxx., xx the xxxxxxxxx xx financial xxxxxxx xxx xxx victims xx xxxxxxxx acts xxx xx amending xxxxxxx other xxxx, xx amended, X xx xxxxxxx xx xxxxxxxxx xxx Xxxxxxxx xx Justice xxx xxxxxx xxxxxxxx xx xxxxxxxxxxxx xxx xxx xxxx suffered, xx xx xxx amount xx xxx financial xxxxxxx, within xxxx xxxxx xxxx xxx xxxx xx receiving xxx xxxxxxx xxxxxxx. X xxxx acknowledge xxxx, after xxx xxxxx of the xxxx-xxxx xxxxxx, X xxx file xx xxxxxxxxxxx xxxxxx xxx Xxxxxxxx of Justice xx waive xxx xxxxx'x xxxxx xxx xxx xxxxxx xx xxx xxxxxxxx xxxxxxx, xxxxxx xxxx a xxxxxx xx xxxx xxxxxxxx xx my xxxxxx standing, the xxxxx xxxxxx of xxxx suffered and xxx xxxxxx xx xxxxxxxxxxxx xxxxxxxx.

X also xxxxxxxxxxx xxxx xxxxxxxxxxx xxxxxx false xx xxxxxxxxxx xxxxxxxxxxx or xxxxxxxxxxx information xxx xxx xxxxxxxx xx xxxxxxxxxxxxx gaining xxxxxxxx xxx represent xx xxxxxxx xxxxxxxx xx §21, xxxxxxx 1, xxxxxx c) xx Xxx xx. 200/1990 Xxxx., xx offences xx xxxxxxx.

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Xxxxxxxxx xx xxx xxxxxxxxx xx xxx/xxx representative

- Xxxx xxxxxxx xx the xxxxxxxxxxx xxx the xxxxxxxxx xx financial xxxxxxx xxxxxxxx to Xxx Xx. 209/1997, xxx Ministry xx Xxxxxxx xxxxx xxxxxxx xxxxxxx and assign xx x xxxxxx xxxxxx. Subsequently, xxx Xxxxxxxx xxxxx xxxxxxxx xx investigation with xxx police xx x xxxxxxx authority xx xxx xxx xxxxxxxx xxxxxxx xx xxx xxxx. Xxxxxx xxxxx xxxxxx xxxx xxx xxxx xx xxx xxxxxxx xx xxx application xxx xxxxxxxxxx of xxx xxxxxxxxx documents, the Xxxxxxxx shall either xxxxxxx xxx xxxxxxx xx xxxxxx the xxxxxxxxx of the xxxxxxx xxx such xxxxxxx xxx xxxx xxxxxxxx.

- The xxxxxxxxx xxxxx xx xxxxxxxxxx x xxxxxx xx xxx Xxx Xx. 209/1997 Coll. xxxx xx xx/xxx xxx xxxxxxxx xxxxxx xxxx xx x xxxxxx xx xxx xxxxxxxxxx xx x xxxxx. X necessary xxx xxx xxx ohly xxxxxxxxx xxx xxx xxxxxx'x xxxxxxx of xxxxxxxx xxxxxxx xxxxx xx xxx xxxxxx xx xxx xxxxx-xxxxx xxxxxxxxxx xx the xxx xxxxxxxx (xxx xxx weakening xx xxxxxx position), xxxxx xxxx be xx xxxxx 100 points. Xxxxxxxxx xx x xxxxxx xxx xxx xxxx xx xxxxxxxxxxx xx x xxxxx xxxxx xx considered xx xx a xxxxxx xx the xxxxxxxx xx a xxxxxx, xxxxxx xx xxxxx of xxx xxxxxxxx and xxx xxxxxxxx shared a xxxxxxxxx xxxx xxx xxxxxxxx xx the xxxx of xxx/xxx xxxxx xx xx xxx xxxxxxxx supported xx was xxxxxxxx xx support xxx xxxxxxxx.

- Act No. 209/1997 Coll. on xxx provision xx xxxxxxxxx support to xxxxxxx xx xxxxxxxx xxxx xxxxxxxxxx a xxxxxxxxxx xxxx xx 1 year xxxx xxx xxxx xx xxxxx xxx victim xxxxxxx xx the xxxx xxxxxx by xxx xxxxx. If xxxx xxxx does xxx xxxxxxxx xxxx xxx xxxx xx xxx commitment xx xxx xxxxx, xxx xxxxxx xxxxx xxxxxxx xxxxxxxx xx xxx xxxx on which xx/xxx xxxxxxx xx xxx xxxxxxxxxxxx. The Xxxxxxxx of Justice xxxxxx xxxx xx xxxxxxxxxxx xxx xxx xxxxxxxxx of xxxxxxxxx xxxxxxx xxxxxxxx xxxxxxx xxxxx the lapse xx xxx xxxxxxxxxxxxxx xxxxxx.

- Xxxxxxxxx xxxxxxx xx xxxxxxx xxx xx a victim xxx xxx suffered xxxxxx xxxx as x xxxxxx xx xxx xxxxxxxxxx xx x crime xxx xx in the xxxx xx x xxxx xxx amounting xx CZK 25,000 xx an amount xxxxx to xxxx xxxxxx xx xxx xxxxx xx xxxxxxx xxxxxxxxx xx xxxxxx xx xxx victim, xxxxxxx xx xxx xxxxxx xxxxxxxxxx xxxx xx the victim xx compensation xxx xxx xxxx xxxxxxxx. Xxx xxxxx xxxxxx xx xxxx xxxxxxx xxxx xxx exceed XXX 150,000. Xx, xxxxx xxx xxxxxxxxx xx support, xxx xxxxxx xxxxxx that xxx xxxx suffered xxxxxxx the xxxxxx xxxxxxxx, xxx xxxxxx xxx xxxxxxx xxxxxxxxxx xxxxxxx up xx xxx amount of XXX 150,000 if xx/xxx applies for xx within the xxxxxxxxxxxxxx xxxxxx of xxxx (x.x., 1 xxxx xxxx the xxxx xx xxxxx xxx xxxxxx learned xx xxx harm xxxxxx xx xxx xxxxx); in xxxx xxxx, any xxxxxxx xxxxxxx paid will xx xxxxx xxxx xxxxxxx.

- An xxxxxxxxxx xxx xx x xxxxxxxx xx a xxxxxx xxx xxx xxxx xx x xxxxxx xx the xxxxxxxxxx xx x xxxxx (x xxxxxx, xxxxxx or xxxxx xx xxx deceased xxxxxx xx a xxxxxx household with xxx xxxxxxxx xx xxx time xx xxx/xxx xxxxx or xxxxxxxxx xx xx xxxxxxxx to xx xxxxxxxxx by xxx xxxxxxxx) shall xx xxxxxxxx with x xxxx xxx xxxxxxxxx xx XXX 150,000. Xxx xxxxx amount xxxxxxxx xx financial xxxxxxx xxxxx xxx xxxxxx CZK 450,000; xxxxxx xxx xxxxxx xx victims xxxxxx xxxxx, xxx xxxxxx xxxxxxxx per victim xxxxx xx xxxxxxx xxxxxxxxxxx.

- Xxx Xx. 209/1997 Xxxx. xxxx xxx xxxxxxx xxx xxxxxxxxx xx the xxxxxxxxx xxxxxxxxx of xxxxxxxxx of motor xxxxxxxx related to xxxxxxxxxx liability insurance. Xx xxxxxxx xxxxxxx xx traffic accidents, xxxxxxxxxxxx xxx insurance xxxxxxxx should xxxx xx xxxxxxxx to xxx xxxxxxxx providing xxxx xxxxxxxxx xxxxxxxxx. Xxxx xx xxxxxxxx xxxxx, xx xxxx xx exceptional xxxxxxxxxxxxx, xxx xx xxxxxxxxxxx xxx xxx xxxxxxxxx xx financial xxxxxxx xx filed with xxx Ministry xx Xxxxxxx.

- Xxxxxx xxxx xx xxxx xxxx xxx xxxxxxxxx documents xxx xxxxxxxxxxxxx required xxx xxx xxxxxxxxxx xxxxx must xx xxxxxxxx to xxx xxxxxxxxxxx. If xxx xxxxxxxxx xxxxx xx xx so, xxx Xxxxxxxx of Xxxxxxx xxxxxx xxxxxxxx process xxx application. Xxxxxx xxx xxxxxxxxx fail xx xxxxxxx any xxxx xxxxxxxxx xxx xxxxxxxxxxxxx xxxx xxxxxx x xxxxxxxxxxxxx xxxxxxxx, xxxx fact may xxxxxxx x xxxxxxxx xx withhold xxx xxxxxxx xx per Xxx No. 209/1997 Xxxx. Xxxx xxxxx xxx, xxxxxxx, prejudice xxx xxxxxx xx xxxxxxx xxxxxxxxxxx.

- Please xxxx in xxxx xxxx xxx xxxxxxxxx xxxxx xx xxxxxxx xx xxxxxx xxx xxxxxxxxx amount xxxxxxxx xx compensation for xxxx (xxxx xxx xxxxxxxx, insurers xxx.) xx xxx account xx the Xxxxxxxx xx Xxxxxxx xx xx the amount xx xxx xxxxxxx xxxxxxxx. This obligation xxxx xxx xxxxx xx he/she xxx xxx xxxxxxxx any xxxxxxxxxxxx. Xx xx xxxxxxxxx xx xxx xxxxxx xx xx xxxxxxxxxxx, xxx Ministry xx Xxxxxxx xxx xxxxx the xxxxx'x xxxxx xx xxxxx xxx xxxxxx of xxx xxxxxxxxx xxxxxxx xxxxxxxx xxxxx xxx xxxxx xx the xxxx-xxxx xxxx, xxxxxxxx xxxx a waiver xx xxxxxxxxx xx xxx xxxxxx'x social xxxxxxxx, xxx xxxxx xxxxxx xx xxx xxxx xxxxxxxx xxx xxx xxxxxx xx xxxxxxxxxxxx xxxx to xxx xxxxxx.

Xxxxxx xxx/xxxx/xxxxxx

Xxxxxxxxxxxxxxx xx, xx x xxxxxxxx, x xxxxxx xx xxxxxxxxxx, sme xxxxxx Xxx xxxxxxxxx xxxxxxxxxxxx otázkami. V xxxxxx xxxxxxxx posúdenia Xxxxx xxxxxxxx x xxxxxxxxxxx xxxxxxxx xxxxxx xxxxxxx xxxxxxxx činnosti xxxľx zákona č. 209/1997 Zb., xx xxxx vyplnenie xxxxx xxxxxxxxx nevyhnutné. Xxxxxxxx Xxx xx xxxxxxxxxx, xxxxx xx xxxxx xxxxxx.

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X. Xxxxxx, xxxxxxx čitateľne osobné xxxxx x žiadateľovi - obeti xxxxxxxxx xxxx, xxxxxx xxôxxxxxx xxxx xx xxxxxx, xxxxx osobe xxxxxxxxxx xx xxxxx, ktorá x xôxxxxxx trestného xxxx xxxxxxx:

1. Xxxxxxxxxx:

2. Xxxx:

3. Xxxxx xxxxxxxxx:

4. Xxxxxx trvalého xxxxxx:

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

6. Telefón:

7. X-Xxxx:

8. Občianstvo:

II. Xx xxxxxxxľx xxxxxxxxx xxx xxxxx (xxxxxxxx) xx xxxxxxx zákonného zastúpenia (xxxx. xxxxxxxx xxxxx xxxxxx rodičom) xxxxx xx xxxxxxx dohody x xxxxx moci, xxxxxxx xxxxx x xxxxxxxxxx:

1. Xxxxxxxxxx:

2. Xxxx:

3. Xxxxxxxxxxxxxx adresa:

Ak xxxxxxx xx inú osobu, xxxx xx xxxxxxx xxxxxxxxxx, ktorá xxxxxxxxxx xxxxxxx. Xxxxx k xxxxxxxx priložte xxxxx xxxxx moci (pri xxxxxxxx xxxxxxxxx) alebo xxxxx rodného xxxxx (x prípade zákonného xxxxxxxxxx) alebo xxx xxxxxxx xxxxxxx.

XXX. Xx xxxxxxxľ alebo xxxxx xxxxxxxxx po xxxxx, xxxxx v xôxxxxxx xxxxxxxxx činu zomrela, xxxxxxx, xxxxxx, aj xxxxx x xxxxxxx xxxxx:

1. Xxxxxxxxxx:

2. Xxxx:

3. Xxxxx narodenia:

4. Dátum xxxxxx:

5. Xxxxxxxx bydlisko:

7. Xxxxxxxxxx:

8. X xxxx xxxxxx xxxx zomretá xxxxx v dôsledku xxxxxxxxx činu x xxxxx xxxxxxxľx (xxxx, xxxxx, xxxxx xxxxxx x xxxxxxxxx domácnosti):

Ak xx xxxxxxxľ xxxxxx xxxxxxxxxx xx xxxxx, xxxxx x xôxxxxxx xxxxxxxxx činu zomrela, x žiadosti xx xxxx xxxxxxxx kópia xxxxxxxx listu x xxxxxxx, xxxxx dokladajú xxxxxxxxxx, xx xxxxxx xxxxx xxxxxxxxxx xxxxxxxxx xxxxx alebo xxxx xxxxxxxxx xx vyživovať (xx vzťahu xxxxx - xxxxx xôxxx x xxxxx xxxx xxxxx xxxxxxxxxxx súdu x xxxxxxxxxxx xxxxxxxxxx, xxx xxxxxxxx takou xxxxxxxx bude xxxxxxx xxxx a pod.)

IV. Xxxxxx, či žiadate xxxxxxxx xxxxxxx xxxxx xxxxxxxxxxxxxxx pošty xxxxx xxxxxxxx na xxxxxxx xxxx; x takom xxxxxxx xxxxxxx xxxxxxx xxxxx Xxxxx xxxx.

X. Xxxxxx xxxxx, xxxx xx obeť dozvedela x xxxxx spôsobenej xxxxxxxx xxxxx.

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

VI. Xxxxxxx xxxxx xxxxx x xxxxxxxx konaní (policajný xxxxx, xxxxxx zastupitelstvo, xxx), ktorý xxxxxxxxx xxxxx xxxxxxx x xxxxxxxx xxxx. Xxxxxx xx xxxxxxx xxxxxx, xxx xxxxxx prebieha xxxxxxxxxxxx.

Xx xxxx x xxxxxxxxxx posledné xxxxxxxxxxx xxxxxx xxxxxxx x xxxxxxxx xxxxxx, xxxxx xxxx xxxxxxxxx x xxx, x akom xxxxxx sa xxx xxxxxxxx (xxxx. uznesenie x xxxxxxxx xxxxxxxxx xxxxxxxx, xxxx xxxxxxxx, xxxxxxxx - x xxxxxxxxxxxxx), xxxxxxxx xx x žiadosti.

VII. Xxxxxx, xxxx spôsobom xxx xxxxxxxxx xxxxx xx xxxxxxx škody xx xxxxxxxľx xxxxx xxxx xxxxx, xxxxx xxxxxxxxx xx xxxxx.

Xxxľx xxxxxxxxxxx §8 xxxxxx č. 209/1997 (Xx)., xxxxxxxx xxxxx sa môže xxxxxx alebo sa xxxxxxxx x xxxxxxxxxxxxx xx xx, či xxxx xxxxxxx všetky xxxxxxx xxxxxxxxxxx xx xxxxxxxxxx xxxxxx xx xxxxxxx xxxxx xx xxxxxxxľx xxxxx inej xxxxx, xxxxx xxxxxxxxx xx xxxxx. Tento xxx nevyplňujte, ak xxxxxxxľx xxxxxxxxx xxxx xxxxxxxxx.

Xxx VIII. Vyplňte, xx žiadateľ xx xxxxxxxxxx xx xxxxx, xxxxx x xôxxxxxx xxxxxxxxx činu xxxxxxx.

XXXX. Xxxxxx, xx xxx xxxxxxx xxxxxx, xxxxx xxľxx xxxxxxxxx uvedené x §2 xxxx. 2 zákona x. 209/1997 Xx., xxxxxxxx xxľxx xxôx xxľxx xxxxx xxxxxxxxx, xx xx Vám xxxxx xxxxxxxxxxx xxxxx.

1. Xxxx xxx rodičom, manželom xxxxx xxxxxxxx osoby, xxxxx zomrela v xôxxxxxx trestného činu?

2. Xxxx ste s xxxxxx trestného činu xxxx vykonaním xxxxxxxxx xxxx x spoločnej xxxxxxxxxx?

3. Xxxxxxxxxxx Vám xxxx trestného xxxx xxxxxx, xx xxxx x xxxx xxxxxxx?

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

Xxxľx xxxxxxxxxxx §2 xxxx. 2 xxxxxx x. 209/1997 Xx. xx xx obeť xxxxxxxx xxxxx pozostalá po xxxxx, xxxxx v xôxxxxxx xxxxxxxxx xxxx xxxxxxx, xx xx xxxxxxx, manželom xxxxx xxxxxxxx xxxxxxxxx a xxxxxxx x xxxx xxxx xxxxx x xxx žila x xxxxxxxxxx xxxxx osoba, xxxxxx xxxxxx xxxxxxxxxx xxxxx xxx xxxxxxx xxxxxxxxxx xxxxxx.

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Xxxx XX. xx XXX. Vyplňte, xx sa xxxxxxxľ xxxx xxxxxx trestného xxxx x xxxx xx xxôxxxxxx xxxx xx xxxxxx.

XX. Xxxxxx xxxxx, xxxx sa xxxxxxxx xxxxxxxx, xxxxxxxxxx xxxx sa xxxxxxxx xxxxxxxx xxxxxxxxxxx.

X. Xxxxxxx xxxxx bodového xxxxxxxxxxx xx xxxxxx xxxx:

X xxxxxxxx xx musí xxxxxxxx xxxxxx xxxxxxxxxxx xx bolesť xxxľx xxxxxxxx č. 440/2001 Zb., ktoré xxxxxxxľ získa xx xxxxxx, xxxxx ho xxxxxxxxx. Tento lekársky xxxxxxx bude xxxxxxxxx xxxxxx xxxxxxxxxx xxxxxxxxx xxxxxxx x xxxxxx xxxxxxxxxx xxxxxxxx spoločenského xxxxxxxxxx. Xxxxxxxxxxx, že xxx xxxxx zákona č. 209/1997 Zb. xx xxxxxxxxxx xxx bodové xxxxxxxxxxx xxxxxxxxx bolesti. Xxxľx xxxxxxxxxxx §6 xxxx. 2 zákona č. 209/1997 Xx. xxxxxxx xxxxxxxxx' xxxxxxx xxxxx, xx bodové xxxxxxxxxxx xxxxxxxxx xxxxxxx xxxxxxxxxx xxxxxxxx 100 bodov.

XI. Xxxxxx, xx xxxxxxx x xxxxxxxxxxx xxxxxxxx xxxxxx vo výške xxxxxxxxx xxxxxxx 25&xxxx;000.- Xx alebo xx xxxxxxxx výšku xxxxxx xxxxxxx x nákladov xx xxxxxxxx.

Xxxľx xxxxxxxxxxx §7 xxxx. 1 xxxx. x) xxxxxx x. 209/1997 Xx. xx xxxxxxx obete xxxxx xxxxxxxxx peňažnú xxxxx vo výške xxxxxxxxx xxxx 25&xxxx;000.- Xx, alebo xx xxxxx xxxxxxxxxxxxxx preukázaným xxxxxxxx na xxxxxxxx x ušlému xxxxxxx. Xx xx xxxxxxxxxx xxxxxx o peňažnú xxxxx xx xxxxx xxxxxxxxx xxxxxxx, xxxxxxxx xx vyplňovať xxxx XXX. - XXX. xxxxx xxxxxxxxx.

XXX. Xxxxxxx xxxxxxx x liečením xxxxxx:

Xxx x xxxxxxx xx lieky, xxxxxxxxxxxx xxxôxxx, xxxxxxx xx xxxxxxxxxxxxx, xxxxxxxxx xxxxxx xxxxx xx xxxxx x xxxxxxxxxx xx xxxxxxxxxx, zvýšené xxxxxxx xx xxxxxxx, x xxx. xxx podmienkou, xx tieto náklady xxxxxxxxx pojsťovňa. Xx xxxxxxx náklady xx xxxxx xxxxxxx, xxxx xx xx ministerstvo xxxxxxxxxxxxxx xxxxxx xxxx xxxx xxxxxľ.

XXXX. Xxxxxxx xxxxxxxxx xxxxxx xxxxxxxľx xxxx x xx xxxxxx xxxx na xxxxxx spôsobenej xxxxxxxx xxxxx.

X xxxxxxxx xxxxxxxx xxxxxxx, xxxxx xxxxxxxxxx xxxxxxx skutočnosti.

V prípade, xx žiadateľ xx x xxxxxxxxxxxxxx xxxxxx, xôxxx x potvrdenie xxxxxxxxxxxxľx x priemernom xxxxxxx xxxľx §351 x nasl. xxxxxx x. 262/2006 Xx., xxxxxxxx xxxxx, v xxxxx neskorších xxxxxxxxx. Xx xx xxxxxxxľ xxxxxx samostatne zárobkovo xxxxxx, xxxxx xxxxxxxx xxxx xxxxxxxxx xxxx xxxxxxxxxx xxxxxxxx xxxxxxxxx. Xx žiadateľ xxxxxx xxxxxxxx xôxxxxxx, xxxxxxxx, xxxxx xôxx dokázať xxxxxxxx xxxxxxxx xxxxxxxx, xxxx xxxxxxxxxx o xxxxx xxxxxxxxxx xôxxxxxx. X xxxxxxx, xx x xxxxxxxx xxxxxxxxx xôxxxx xxxxxxx xxxxxxx xxxxxxxxx xxxxxx žiadateľa, x xxxxxxx xxxxxxx xx možné nahradiť xxxxxxxxxx o nich xxxxxxx xxxxxxxxxx.

XXX. Xxxxxx xxxxx xxxxxxxxxxxx xxxxx (xxxxxxxxxxx dôchodku) a xxxx, odkedy ich xxxxxxxľ xxxxxx, xx xxxxxxx xx xxxxxx xxxx xx zdraví, xxôxxxxxxx trestným xxxxx.

X xxxxxxxx priložte xxxxxxxxxx xxxxxxxxxxxxľx xxxxx xxxxxxxxx x xxxxx xxxxxxxxxxxx xxxxx. X prípade, xx x dôsledku xxxxx na xxxxxx xxôxxxxxxx xxxxxxxx činom Xxx priznali xxxxxxxxx xôxxxxxx, xxxxxx x xxxxxxx xxxx xxxxx.

Xxxx xxxxxxxxx xxxxxx xx také, že xxxxxxxx činom, xxxxxxx xxx xxx(x) xxxxxx, xx moja xxxxxxxx xxxxxxxx xxxxxxxx. Xxxxx, xxxxx mi takto xxôxxxxx, dosiaľ xxxxxx xxxxxxxx.

Xxxxxx vyhlasujem, xx xxxxx na xxxxxxx xxxxx či xxxxxxx xxxxx xx xxxxxxxxxxx xxxx xxôxxxxxxx xxxxxxxx xxxxx xxx neuplatnil(a) x xxxxxxx xxxx xxxxx xxx v Xxxxxx (Xxxxxxxxxx) xxxxxxxxx.

Xxxxxx xx xxxxxxx, xx xx podľa xxx. §12 zákona č. 209/1997 Xx., o xxxxxxxxxx xxxxxxxx xxxxxx xxxxxxx xxxxxxxx xxxxxxxx x x zmene x x xxxxxxxx xxxxxxxxxx zákonov, x xxxxx xxxxxxxxxx predpisov, xxxxxx povinnosť xx xxxxxxx rokov xxx xxx, xxx mi xxxxxxxx pomoc, xxxxxxx xx xxxx Xxxxxxxxxxxx xxxxxxxxxxxxxx xxxxxxx, ktoré xxx xxxxxx(x) xxx xxxxxxx xxxxx, x xx až xx xxxxx xxxxxxxxxxx pomoci. Xxxxxxx s xxx xxxxxx xx xxxxxxx, xx po xxxxxxxx xxxxxxxxxx päťročnej xxxx xôxxx xxxxxxxx Ministerstvo xxxxxxxxxxxxxx, xxx sa x xxxx xxxxx xxxxxx xxxxx xx xxxxxxxx xxxxxxxxxxx xxxxxx, xx xxxx xxxxxxxx xxxxxxxx bude xxxx xxxxxx odôvodňovať, xxxxxxx xxxxx škody, xxxxx xx spôsobili x xxxxx xxxxxxx, xxxxx xxx xxxxxx(x).

Xxxxxx tiež xx vedomie, xx xxxxxxxxx xxxxxxxx xxxxxxxxxxx xxxxx xxxxxxxxx údaja xx jeho zatajením xx xxxxxx získania xxxxxxxxxxxx xxxxxx, sa xôxxx xxxxxxxx priestupku xxxľx §21 odst. 1 písm. c) xxxxxx č. 200/1990 Xx., x xxxxxxxxxxxx, x xxxxx neskorších xxxxxxxxx.

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xxxxxx xxxxxxxľx xxxxx xxxxxxxx

- Xxxxxxxxxxxx xxxxxxxxxxxxxx Xxxxx republiky xx xxxxxxx xxxxxxxx o xxxxxxxxxxx xxxxxxxx xxxxxx xxxľx zákona č. 209/1997 Zb. xxxxxxx xxx xxxxxx x xxxxx xxxxxxxx xxxxx. Xxxxx bude xxxxxxxxxx xx xxxxxxx xx xx inom xxxxxxxx orgáne xxxľx xxxxxxxxxxx xxxxxxxxx xxxxxxx. Xx xxxxx mesiacov xx xxxxxx xxxxxxxx x xxxxxxxxxx potrebných xxxxxxxx xxx xxxxx xxxxxxxx alebo xxxxxxxľxxx xxxxxx dôvody, xxxxx xxxxx xxxxxxx poskynúť.

- X xxxxxx zákona č. 209/1997 Zb. xxxx xxxxxxxľ xxxxxxxxxx xx xxxx xxx x xxxxxxx, xx mu v xôxxxxxx trestného xxxx xxxx spôsobené xxxxxxxxxx xxxxxxx. Xxxxxxxxxxx, xxx xxxx xxxxxxxxxxxx podmienkou xx priznanie xxxxxxxx xxxxxx xxxxx obeti xx xxxxx bodového xxxxxxxxxxx bolesti (nie xxxx sťaženie xxxxxxxxxxxxx xxxxxxxxxx) xxxxxxxxxxxx aspoň 100 xxxxx. Xx xxxx sa xxxxxxxx xx xxxxx xxxxxxxxx xx obeti, xxxxx x dôsledku xxxxxxxxx xxxx xxxxxxx, ak xxxx xxxxxxx, manželom xxxxx xxxxxxxx zomretého x xxxxxxx x xxxx jeho smrti x ním xxxx x domácnosti, alebo xxxxx, xxxxxx xxxxxxx xxxxxxxxxx alebo xxx xxxxxxx xxxxxxxxxx xxxxxx.

- Xxxxx č. 209/1997 Zb. x xxxxxxxxxx peňažitej pomoci xxxxxxx xxxxxxxx xxxxxxxx xxxxxxxxx prekluzívnu (prepadnú) xxxx 1 xxxx xxx dňa, xxx xx xxxx dozvedela x xxxxx xxôxxxxxxx xxxxxxxx činom. Ak xxxxx dňom xx xxx xx xxx xxxxxxxxx trestného xxxx, xxxx dokazuje okamžik, xxxx xx to xxxxx. Xxxxxxxxxxxx xxxxxxxxxxxxxx xxxôxx vyhovieť žiadostiam x xxxxxxxxxxx xxxxxxxx xxxxxx, xxxxx mu xxxxxxxx xx xxxxxxxx xxxxxxxxxx xxxxxx.

- Xxxxx xx na xxxxxxx xxxxx, xxxxxx x xôxxxxxx xxxxxxxxx xxxx xxxxxxx škoda xx xxxxxx, xxxxxxxx v xxxxxxxxx xxxx 25&xxxx;000.- Xx alebo vo xxxxx, ktorá xxxxxxxxxxx xxxxxxxxxx xxxxxx na xxxxxxx, xxxxxxxxxx xxxxxxx xxxxxxx x xxxxxxxx, xxxxxxx x súčet xxxxxxxx xxxxxxx, ktoré xxxx x titulu xxxxxxx xxxxx už xxxxxxx; xxxxx vo xxxxxx xxxxx nesmie xxxxxxxxxx xxxx 150 000.- Xx. Ak obeť - xx xxx, xxx xxx poskytli xxxxx - preukáže, xx jej xxxxxxxxx xxxxx je xxxxxx xxx xx, ktorá xxxx xxxxxxxxx xx xxxxxxxxxxx pomoci, xx xxx xxxxxxx x xxxxxx stanovenej xxxxx xxxxxxx xxx xxxxx xxxxxxxxx xxxxx xxäx, x to až xx maximálnej výšky 150&xxxx;000.- Xx; pričom xx prihliadne na xxxxxxx, ktoré už xxxx xxxxxxxxx.

- Xxxxxxxx xxxxx, xxxxx xx xxxxxxxxxx po xxxxx, xxxxx x xôxxxxxx xxxxxxxxx činu xxxxxxx (xx xxxx xxxxxxx, xxxxxxxx alebo xxxxxxxx xxxxxxxxx x xxxxxxx x xxxx xxxx xxxxx s xxx xxxx v domácnosti, xxxxx xxx xxxxxxx xxxxxxxxxx, či bol xxxxxxx xxxxxxxxxx xxxxxx), xx xxxxxxxx xxxxxxx xxxxx v paušálnej xxxx 150&xxxx;000.- Xx; xxxxx vo svojom xxxxx nesmie xxxxxxxxxx xxxx 450 000.- Xx, x xx je xxxxx xxxxx xxxx xxx tri xxxxx, xxxxxxxxxxx čiastka xx xxx xxxxxx obeti xxxxxxxxx kráti.

- Xxxxx č. 209/1997 Zb. nenahradzuje xxxxxxxx xxxxxxxxxxx xxxxxxxxxxxxx vykonávateľa xxxxxxxxxx vozidiel, na xxxxx nadväzuje xxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxxxxxx. Xxxxx xx potrebné x xxxxxxxxxxxxxx dopravných xxxôx žiadať subjekt, xxxxx xxxxxxxx poistenie xxxxxxxxxxxxx, o poskytnutie xxxxxxxxx xxxxxxx. Len x celkom xxxxxxxxxxx xxxxxxxxx x xxxxxxxxxxxxx xx xxxxxxxxx xxxxxxxxx xxxxxxxxx xx xxxxx xxxxxx xxxxxxxxxxxx xxxxxxxxxxxxxx x poskytnutie xxxxxxxx xxxxxx.

- Xxxxxxxxxxx, xx xx xxxxxxxxxx xxxxxxxx xxxxxx xxxxxxxx xxxxxxx x xxxxxxxxxx, xx xxxxx odkazujeme xxx xxxxxxxxxxxx xxxxxxxxx. Xx xxx xxxxxxxľ xxxxxxx, xxxxxxxxxxxx spravodlivosti xxxôxx xxxxxxx žiadosť. Xx xxxxxx potvrdenia a xxxxxxx ani xxxxxxxxx xxxxxx, xxxx xxxxxxxxxx xôxx byť xôxxxxx xxxxxxxxxxxxx xxxxxxxx pomoci xxxľx xxxxxx č. 209/1997 Zb. Xx však xxxxxxxxxx xxxxxxx xxxxx xxxx xxxxxxx.

- Xxxxxxxxxxxx, xx xx bude xxxxxxxľxxx xxxxxxxxxx xxxxxxx xxxxx, xxxxxxxľ xx xx xxxxxxx xxxxx xxx xxx xxxxxxxxxxx xxxxxx xxxxxxx xx účet xxxxxxxxxxxx xxxxxxxxxxxxxx xxxx, xxxxx dostal xxx xxxxxxx škody (xx xxxxxxxľx, xxxxxxxxx x xxx.) xx do xxxxx xxxxxxxxxxx xxxxxx. Xxxx povinnosť nemá, xx mu škodu xxxxxxxxxx. Xx základe xxxxxxxx xxxxx xx xxxxxxxxxxxx xxxxxxxxxxxxxx xôxx x xxxx xxxxx xx xxxxxxxx xxxxxxxxxx xäxxxxxxx doby xxxxx xxxxx xx xxxxxxxx xxxxxxxxxxx peňažnej xxxxxx. Xx xxxxxx xxxxxx xxôxxxxxxx xxxxxxxx xxxxxxxx xxxxx, xxxxxxx výška xxxxx, ktorú xxx xxôxxxxxx, x xxxxx xxxxxxx, xxxxx xxxx xxxxxxx.