Plné znění - 241/2006 Sb.

Xxxxxxxxxxxxx xxx xxx Xxxxxxxxxx xx Applications xxx xxx Xxxxxxxxx xx Xxxxxxxxx Xxxxxxx xx Xxxxxxx of Xxxxxxxx Xxxx xxxxxxxx xx Xxx Xx. 209/1997 Xxxx., xx the xxxxxxxxx of xxxxxxxxx xxxxxxx xx xxx xxxxxxx of xxxxxxxx xxxx and xx xxxxxxxx xxxxxxx other xxxx, xx amended

Dear Xxx/Xxxxx,

Xx apologise for xxxxxxxxx you xxxx xxxxxxxx questions xx xxxx xxxxxxx xxxxxxxxx. Xxxxxxx, xxxxxxx xx xxxx questionnaire xx xxxxxxxx xxx xxx xxxxx xxxxxxxxxx xx xxxx xxxxxxxxxxx for xxx provision xx xxxxxxxxx support pursuant xx Xxx no. 209/1997. Xxxxx xxx xxx xxxx xxxxxxxxxxx; xx xx xxxxxx xxxxxxxxxxx.

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X. Xxxxxx xxxxxxx xxxx xx xxx xxxxxxxx data xx xxx applicant - x.x. the victim xx the criminal xxx xxx has xxxxxxxx xxxxxx harm, xx xxx xxxxxxxx xx a xxxxxx xxx xxx xxxx xx xxxxxxxxxxx xx xxx criminal xxx:

1. Xxxxxxx:

2. Xxxxx xxxx:

3. Xxxx xx xxxxx:

4. Xxxxxxxxx address:

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

6. Xxxxx Number:

7. X-xxxx xxxxxxx:

8. Xxxxxxxxxxx:

XX. Xx xxx applicant xx xxxxxxxxxxx by xxxxxxx person ("xxxxxxxxxxxxxx") xx xxx basis xx statutory xxxxxxxxxxxxxx (xxx xxxxxxxx, x xxxxx xxxxx xxxxxxxxxxx xx his/her xxxxxx) xx xx xxx xxxxx xx x xxxxx of xxxxxxxx, xxxxxx xxxx xx xxx xxxx xx xxxx xxxxxxxxxxxxxx:

1. Surname:

2. Xxxxx xxxx:

3. Xxxxxxxxx xx xxxxxxxxxx xxxxxxx:

Xx xxx representative is xxxxxx xxx xxxxxxxxxxx xx xxxxxx of xxx applicant, please xxxx submit a xxxxxxxx authorizing xxx/xxx xx represent xxx xxxxxxxxx - x xxxx of x xxxxx of attorney (xxx contractual representation) xx a xxxx xx the xxxxx xxxxxxxxxxx (xxx statutory xxxxxxxxxxxxxx) xx any xxxxx xxxxxxxxxx document.

III. Xx the xxxxxxxxx xx a xxxxxxxx xx x person xxx has died xx consequenee xx xxx xxxxxxxxxx xxxxxxxx xxx, please xxxx xx xxx personal xxxx xx xxx xxxxxxxx:

1. Xxxxxxx:

2. Xxxxx xxxx:

3. Xxxx xx xxxxx:

4. Xxxx xx xxxxx:

5. Xxxx xxxxxxxxx xxxxxxx:

6. Nationality:

7. Xxxxxxxxxxxx xx xxx xxxxxxxx xx xxx xxxxxxxxx (x.x. xxxxxx, xxxxxxxx, xx xxxxxxxxxx xxxxxx xx common xxxxxxxxx)

Xx xxx applicant is x xxxxxxxx xx x xxxxxx who xxxx in xxxxxxxxxxx xx xxx xxxxxxxx xxx, xxxxxx attach x copy xx xxx xxxxx xxxxxxxxxxx xxx xxx xxxxxxxxx xxxxxxx xxxx xxx xxxxxxxx supported or xxx xx xxxxxxxxxx xx xxxxxxx xxx xxxxxxxx (in xxx xxxx of x xxxxxx-xxxxx xxxxxxxxxxxx, such xxxxxxxxx xxxxxxx xxxxx xxxxxxxxxxxx or x xxxxx xxxxxxxx xx xxx xxxxxxxxxx xx xxxxxxx xxx xxxxxxxxx; xx the case xx married xxxxxxx, xxxxxx attach x xxxxxxxx xxxxxxxxxxx).

Xxxxxx xxxxxxx the xxxx xx which xxx crime was xxxxxxxxx xxx, xx xxx victim xxxxxxx xxxxx xxx xxxxxxxxxxxx xx xxx xxxxx xx a xxxxx xxxx, xxxxxx xxxx xxxxxxx the xxxx xxx xxx manner xx xxxxx xxx xxxxxx xxxxxxx xx xxxx consequences (x.x., xxx xxxx xx xxx xxxxxxx xxxxxx).

XX. Xxxxxx xxxxxxx xxx xxxxxxxx justice xxxxxxxxx (x.x. xxxxxx, public xxxxxxxxxx'x xxxxxx, xxxxx) xxxxx xxxx recently xxxxxxxxx xxxxxxxx xxxxxxxxxxx. Xxxxx xxx reference xxxxxx xx xxx xxxx xxxxxxx to xxx respective xxxxxxxxxxx.

Xx xxxxxxxxx, xxxxxx attach xxx xxxxxx decision xx the xxxxxxxxxxxxxx xxxxxxxx justice xxxxxxxxx xxxxx xxxxx indicate xxx xxxxx xx xxx xxxxxxxxxx proceedings (x.x. xxxxxxxxxx on xxx xxxxxxxxxxxxxxx xx xxxxxxxx xxxxxxxxxxx, xxxx xx xxx xxxxxxxxxx, xxxxxxxxx - xxxxx xx xxxxxxxxx).

According xx xxx provisions xx §8 xx Xxx xx. 209/1997, xxx amount xx xxxxxxxxx xxxxxxx xxx xx xxxxxxx xx xxxxxxxx xxxxxxxxx xx xxxxxxx xxx xxxxxx xxx xxxx use xx xxx xxxxx xxxxxxxx xx xxxxxxx x claim for xxxxxxxxxxxx xxxxxxx xxx xxxxxxxx or xxx xxxxx xxxxxx xxxxxxxxxxx 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 xxxxxxxx xx xx individual who xxx died in xxxxxxxxxxx of xxx xxxxxxxxx xxxxx.

1. Xxx xxx a xxxxx, xxxxxx or xxxxx xx xxx xxxxxx xxx xxxx xx consequence xx xxx xxxxxxxx offence?

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

3. Xxxx you x xxxxxxxxx xx the xxxxxx or xxx xxx xxxxxxxx obliged xx xxxxxxx xxx?

4. Xx any xxxxx xxxxxxx xxxx the xxxxxxxxxx described xx xxxxxxx 1 xx 3? Xxxxxx xxxx xxxxx xxxxxx, if xxxxx xx xxx.

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Xxxxxxxxx xx xxx provisions xx §2, xxxxxxx 2 xx Xxx xx. 209/1997, x xxxxxx xxx xx x survivor of x xxxxxx who xxxx xx xxxxxxxxxxx xx x xxxxxxxx xxx is considered xx be x xxxxxx if xx xx xxx xx x parent, xxxxxx xx xxxxx xx xxx deceased xxx xxxxx xxxx him xx her in xxx xxxx xxxxxxxxx xx xx xxx xxxxxx was x xxxxxxxxx xx the xxxxxxxx or xxx xxxxxxxx was xxxxxxxx xx xxxxxxx xxx xxxxxx.

Xx the applicant xx xxx victim xx a crime xxx xxx xxxxxxxx xxxxxx harm, xxxxxx xxxx in items XX - XXX.

Xxxxxx attach x xxxxx-xxxxx xxxxxxxxxx xx xxxx xxx xxxxxxxxx xxxxxxxx to Xxxxxx Xx. 440/2001 Xxxx. Xxx respective xxxxxxxx should be xxxxxxxx xxxx xxx xxxxxxxxx xxxxxxxxxxx xxx xxx xxxxxx'x xxxxxxxxx. Xxxx medical xxxxxx xxxx xxxxxxx x xxxxx-xxxxx xxxxxxxxxx of xxx xxx xxxxxxxx xxx a xxxxx-xxxxx xxxxxxxxxx xx xxx xxxxxxxx xx xxx xxxxxx'x xxxxxx xxxxxxxx. Xxxxxx bear in xxxx xxxx only xxx point-based assessment xx xxx xxx xxxxxxxx is relevant xxx xxx xxxxxxxx xx Xxx xx. 209/1997. Xxxxxxxxx xx xxx provisions of §6, xxxxxxx 2 xx Act xx. 209/1997, no financial xxxxxxx xxxx be xxxxxxxx unless xxx xxxxx assessment of xxx pain xxxxxxxx xx at least 100 xxxxxx.

The xxxxxx xxx xxxxxx xxxx xxx xxxxxxxxx xxxxxxx xx xxx xxxxxx of CZK 25,000 xx xx xxxxxx xxxxx xx xxx xxxxxx costs xx xxxxxxx xxxxxxxxx xxx lost xxxxxx (§7, section 1, xxxxxx a of Xxx Xx. 209/1997 Xxxx.). xx you xxxxxx xx xxxxx xxx x lump xxx xxxxxxx, there xx xx xxxx xx fill in xxxxx XXX - XxX.

Xxxx includes xxx xxxxxxxx xxx xxxxxxxxxx, xxxxxxxx equipment, xxxxxxxxxxxxxx xxxxx, xxxxxx xx assistant xx xxxx xxx xx xxx xxxx xx xxxx medical xxxxxxxxx, xxxxxxxxx xxxxxxxxxxxxxx costs xxx., provided xxxx xxxxx have not xxxx paid xx xx xxxxxxxxx company. xx xxxx xxxxxxxx xxx xxx xxxxxx xx xxxxxxxxxxx xxxxxxxx, xxx Ministry of Xxxxxxx may not xxxx xxxx xxxx xxxxxxxxxxxxx.

Xxxxxx attach xxx documents confirming xxxx xxxxx to xxx application.

If xxx xxxxxxxxx xx xx xxxxxxxx, xxxxx xxxxxxxxx xxxxx xxxxxxx a xxxxxxxxx xxxx xxx/xxx xxxxxxxx xxxxxxxxxx xxx xxxxxxx salary according xx §351 et. xxx. xx Act xx. 262/2006, the Xxxxx Xxxxxx Code, xx xxxxxxx. xx xxx applicant xx xxxx-xxxxxxxx, xxxx xxxxxxxx xxxxx xx x xxxx of his/her xxxx recent xxx xxxxxx. xx xxx xxxxxxxxx xx a xxxxxxx person who xx able to xxxxx xxx/xxx xxxxxxxx xxxxxx standing, please xxxxxx x xxxxxxxx xxxxxxxxxx xxx xxxxxx xx xxx xxxxxxxxxx xxxxxxx. xx xxx xxx reason xxx xxxxxxxxx'x income situation xxxxxx be xxxxxx, xx xxxxxxxxxxx xxxxx xx xxxxxxxxx may xx xxxxxxxx.

Xx xxxxxx xxxxxxxx xxx xxxx xxxxxxxx xx x xxxxxx xx xxx xxxxxxxx xxx xx which I xxx x victim. X have not xxx been compensated xxx xxx xxxx 1 have xxxxxxxx xx a xxxxxx xx the xxxxxxxx xxx.

X hereby affirm xxxx X xxxx xxx lodged any xxxxx xxx financial xxxxxxx or any xxxxxxx xxxxx for xxxxxxxxxxxx xxx xxx xxxx xxxxxxxx xx x xxxxxx of xxx xxxxxxxx act xx xxx xxxxxxx xxxxx xxxx xxx Xxxxx Xxxxxxxx.

X xxxxxxxxxxx xxxx xxxxxxxxx xx §12 xx Xxx Xx. 209/1997 Xxxx., xx the provision xx financial xxxxxxx xxx xxx xxxxxxx xx xxxxxxxx xxxx xxx on amending xxxxxxx other xxxx, xx xxxxxxx, I xx xxxxxxx xx xxxxxxxxx xxx Xxxxxxxx xx Xxxxxxx any xxxxxx received xx xxxxxxxxxxxx for xxx xxxx suffered, up xx the xxxxxx xx xxx financial xxxxxxx, within five xxxxx xxxx the xxxx xx xxxxxxxxx xxx xxxxxxx xxxxxxx. X also xxxxxxxxxxx xxxx, xxxxx xxx xxxxx xx the xxxx-xxxx xxxxxx, I xxx file xx xxxxxxxxxxx asking xxx Xxxxxxxx of Xxxxxxx xx xxxxx the xxxxx'x claim xxx xxx return xx xxx provided xxxxxxx, xxxxxx such x xxxxxx xx xxxx xxxxxxxx xx xx xxxxxx standing, xxx xxxxx xxxxxx of xxxx suffered and xxx amount of xxxxxxxxxxxx received.

I also xxxxxxxxxxx that consciously xxxxxx xxxxx or xxxxxxxxxx information xx xxxxxxxxxxx xxxxxxxxxxx xxx xxx xxxxxxxx xx xxxxxxxxxxxxx gaining xxxxxxxx xxx represent an xxxxxxx xxxxxxxx xx §21, xxxxxxx 1, xxxxxx c) xx Xxx xx. 200/1990 Xxxx., on xxxxxxxx xx amended.

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Signature of xxx applicant xx xxx/xxx representative

- Xxxx xxxxxxx of xxx xxxxxxxxxxx for the xxxxxxxxx of xxxxxxxxx xxxxxxx xxxxxxxx xx Xxx Xx. 209/1997, xxx Xxxxxxxx of Xxxxxxx shall xxxxxxx xxxxxxx xxx xxxxxx xx x xxxxxx xxxxxx. Subsequently, xxx Xxxxxxxx xxxxx initiate xx investigation xxxx xxx xxxxxx xx x similar authority xx xxx xxx xxxxxxxx details xx xxx xxxx. Xxxxxx xxxxx months xxxx xxx xxxx xx xxx receipt xx xxx application xxx xxxxxxxxxx xx xxx xxxxxxxxx xxxxxxxxx, the Xxxxxxxx shall xxxxxx xxxxxxx the support xx xxxxxx xxx xxxxxxxxx xx the xxxxxxx xxx such xxxxxxx xxx xxxx xxxxxxxx.

- The applicant xxxxx be considered x victim xx xxx Xxx No. 209/1997 Xxxx. only xx he/she has xxxxxxxx bodily xxxx xx a result xx xxx xxxxxxxxxx xx a xxxxx. X necessary xxx xxx xxx xxxx xxxxxxxxx xxx xxx xxxxxx'x receipt xx xxxxxxxx xxxxxxx shall xx xxx amount xx xxx point-based xxxxxxxxxx xx the xxx xxxxxxxx (not xxx xxxxxxxxx of xxxxxx xxxxxxxx), xxxxx xxxx be xx xxxxx 100 xxxxxx. Xxxxxxxxx xx a xxxxxx who xxx xxxx in consequence xx a crime xxxxx be xxxxxxxxxx xx xx x xxxxxx xx the xxxxxxxx xx x xxxxxx, spouse xx xxxxx of xxx xxxxxxxx and the xxxxxxxx shared a xxxxxxxxx xxxx the xxxxxxxx xx xxx xxxx xx xxx/xxx xxxxx or xx xxx deceased xxxxxxxxx xx xxx required xx support xxx xxxxxxxx.

- Xxx Xx. 209/1997 Coll. xx xxx xxxxxxxxx xx xxxxxxxxx support to xxxxxxx xx criminal xxxx xxxxxxxxxx x xxxxxxxxxx term xx 1 xxxx xxxx xxx xxxx on xxxxx the xxxxxx xxxxxxx xx the xxxx xxxxxx by xxx xxxxx. If xxxx xxxx does xxx coincide xxxx xxx date xx xxx xxxxxxxxxx xx xxx xxxxx, xxx xxxxxx xxxxx provide xxxxxxxx xx the xxxx xx xxxxx xx/xxx xxxxxxx of xxx consequences. Xxx Xxxxxxxx of Justice xxxxxx xxxx an xxxxxxxxxxx xxx xxx xxxxxxxxx xx xxxxxxxxx xxxxxxx received xxxxxxx xxxxx the lapse xx the xxxxxxxxxxxxxx xxxxxx.

- Xxxxxxxxx support xx applied xxx xx x xxxxxx xxx xxx suffered xxxxxx xxxx xx x xxxxxx of xxx commitment xx x xxxxx may xx xx the xxxx of a xxxx xxx xxxxxxxxx xx XXX 25,000 xx an xxxxxx xxxxx to xxxx xxxxxx or xxx xxxxx xx medical xxxxxxxxx xx proved xx the xxxxxx, xxxxxxx xx xxx xxxxxx xxxxxxxxxx xxxx xx xxx xxxxxx xx xxxxxxxxxxxx for xxx xxxx xxxxxxxx. Xxx total xxxxxx xx xxxx xxxxxxx xxxx xxx xxxxxx XXX 150,000. If, xxxxx xxx xxxxxxxxx xx support, the xxxxxx xxxxxx that xxx harm xxxxxxxx xxxxxxx xxx xxxxxx xxxxxxxx, xxx victim xxx receive additional xxxxxxx up xx xxx xxxxxx xx XXX 150,000 xx xx/xxx applies xxx xx within xxx xxxxxxxxxxxxxx xxxxxx of xxxx (x.x., 1 xxxx xxxx the xxxx xx xxxxx xxx xxxxxx learned xx xxx harm xxxxxx xx the xxxxx); in xxxx xxxx, xxx xxxxxxx xxxxxxx paid xxxx xx xxxxx into xxxxxxx.

- Xx individual xxx is x xxxxxxxx xx x xxxxxx xxx xxx xxxx as x xxxxxx xx xxx xxxxxxxxxx of x xxxxx (x parent, xxxxxx xx xxxxx xx xxx xxxxxxxx xxxxxx xx x xxxxxx household xxxx xxx deceased xx xxx time of xxx/xxx death or xxxxxxxxx by xx xxxxxxxx xx xx xxxxxxxxx xx the xxxxxxxx) shall xx xxxxxxxx xxxx x xxxx xxx xxxxxxxxx xx XXX 150,000. Xxx xxxxx amount xxxxxxxx xx financial xxxxxxx shall xxx xxxxxx XXX 450,000; xxxxxx the number xx victims xxxxxx xxxxx, xxx amount xxxxxxxx xxx xxxxxx xxxxx xx xxxxxxx xxxxxxxxxxx.

- Xxx Xx. 209/1997 Xxxx. does xxx xxxxxxx the xxxxxxxxx xx the xxxxxxxxx xxxxxxxxx xx xxxxxxxxx xx xxxxx xxxxxxxx related xx xxxxxxxxxx xxxxxxxxx xxxxxxxxx. Xx xxxxxxx xxxxxxx xx xxxxxxx xxxxxxxxx, xxxxxxxxxxxx xxx xxxxxxxxx xxxxxxxx xxxxxx xxxx xx xxxxxxxx to xxx xxxxxxxx xxxxxxxxx xxxx liability insurance. Xxxx xx isolated xxxxx, xx xxxx xx xxxxxxxxxxx circumstances, xxx xx application xxx xxx xxxxxxxxx xx financial xxxxxxx xx xxxxx with xxx Xxxxxxxx xx Xxxxxxx.

- Please xxxx xx xxxx xxxx xxx xxxxxxxxx xxxxxxxxx xxx confirmations xxxxxxxx xxx xxx xxxxxxxxxx xxxxx xxxx be xxxxxxxx xx xxx xxxxxxxxxxx. If the xxxxxxxxx fails xx xx xx, the Xxxxxxxx xx Justice xxxxxx properly process xxx xxxxxxxxxxx. Xxxxxx xxx xxxxxxxxx xxxx xx deliver xxx xxxx xxxxxxxxx xxx xxxxxxxxxxxxx even xxxxxx x xxxxxxxxxxxxx xxxxxxxx, xxxx xxxx xxx xxxxxxx a xxxxxxxx xx withhold any xxxxxxx as per Xxx Xx. 209/1997 Xxxx. Xxxx xxxxx xxx, xxxxxxx, xxxxxxxxx xxx xxxxxx of xxxxxxx xxxxxxxxxxx.

- Xxxxxx xxxx in xxxx xxxx xxx applicant xxxxx be xxxxxxx xx return xxx xxxxxxxxx xxxxxx xxxxxxxx xx compensation xxx xxxx (xxxx xxx xxxxxxxx, xxxxxxxx xxx.) xx xxx account xx xxx Xxxxxxxx xx Xxxxxxx up xx xxx amount xx xxx support xxxxxxxx. Xxxx xxxxxxxxxx xxxx xxx apply xx he/she xxx xxx received any xxxxxxxxxxxx. Xx xx xxxxxxxxx by xxx xxxxxx xx xx xxxxxxxxxxx, xxx Ministry xx Justice xxx xxxxx xxx xxxxx'x xxxxx to xxxxx xxx xxxxxx xx xxx xxxxxxxxx xxxxxxx xxxxxxxx xxxxx xxx xxxxx xx xxx xxxx-xxxx xxxx, xxxxxxxx xxxx x waiver xx justified xx xxx xxxxxx'x social xxxxxxxx, xxx total xxxxxx xx the xxxx xxxxxxxx xxx xxx xxxxxx xx xxxxxxxxxxxx xxxx xx xxx victim.

Xxxxxx xxx/xxxx/xxxxxx

Xxxxxxxxxxxxxxx xx, že x xxxxxxxx, v xxxxxx xx xxxxxxxxxx, sme xxxxxx Xxx xxxxxxxxx xxxxxxxxxxxx xxxxxxxx. X xxxxxx xxxxxxxx posúdenia Xxxxx žiadosti x xxxxxxxxxxx xxxxxxxx xxxxxx xxxxxxx xxxxxxxx xxxxxxxx xxxľx xxxxxx č. 209/1997 Zb., xx xxxx xxxxxxxxx xxxxx xxxxxxxxx nevyhnutné. Xxxxxxxx Vám xx xxxxxxxxxx, ktorú xx xxxxx xxxxxx.

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X. Prosím, xxxxxxx xxxxxxľxx xxxxxx xxxxx x xxxxxxxľxxx - obeti xxxxxxxxx xxxx, xxxxxx spôsobili xxxx xx xxxxxx, xxxxx xxxxx xxxxxxxxxx xx xxxxx, xxxxx x xôxxxxxx xxxxxxxxx xxxx xxxxxxx:

1. Xxxxxxxxxx:

2. Xxxx:

3. Xxxxx narodenia:

4. Xxxxxx xxxxxxxx xxxxxx:

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

6. Xxxxxxx:

7. X-Xxxx:

8. Xxxxxxxxxx:

XX. Ak xxxxxxxľx xxxxxxxxx iná xxxxx (zástupca) xx xxxxxxx xxxxxxxxx xxxxxxxxxx (xxxx. xxxxxxxx dieťa xxxxxx xxxxxxx) xxxxx xx xxxxxxx xxxxxx x xxxxx xxxx, xxxxxxx údaje o xxxxxxxxxx:

1. Xxxxxxxxxx:

2. Xxxx:

3. Xxxxxxxxxxxxxx xxxxxx:

Xx xxxxxxx xx xxx osobu, xxxx xx doložiť xxxxxxxxxx, xxxxx zastúpenie xxxxxxx. Xxxxx x xxxxxxxx priložte xxxxx xxxxx xxxx (xxx xxxxxxxx zastúpení) alebo xxxxx rodného listu (x xxxxxxx xxxxxxxxx xxxxxxxxxx) alebo xxx xxxxxxx xxxxxxx.

XXX. Xx xxxxxxxľ xxxxx xxxxx xxxxxxxxx po osobe, xxxxx x xôxxxxxx xxxxxxxxx xxxx zomrela, xxxxxxx, xxxxxx, xx xxxxx x xxxxxxx xxxxx:

1. Xxxxxxxxxx:

2. Xxxx:

3. Xxxxx xxxxxxxxx:

4. Xxxxx xxxxxx:

5. Xxxxxxxx xxxxxxxx:

7. Xxxxxxxxxx:

8. V akom xxxxxx xxxx xxxxxxx xxxxx v xôxxxxxx xxxxxxxxx činu k xxxxx xxxxxxxľx (xxxx, xxxxx, xxxxx xxxxxx x spoločnej xxxxxxxxxx):

Xx xx xxxxxxxľ xxxxxx xxxxxxxxxx xx osobe, xxxxx x dôsledku xxxxxxxxx xxxx zomrela, x xxxxxxxx xx xxxx xxxxxxxx kópia xxxxxxxx xxxxx a xxxxxxx, xxxxx xxxxxxxxx xxxxxxxxxx, xx umretá xxxxx xxxxxxxxxx xxxxxxxxx xxxxx xxxxx xxxx xxxxxxxxx ju xxxxxxxxx (xx xxxxxx xxxxx - xxxxx xôxxx x rodný list xxxxx rozhodnutie xxxx x xxxxxxxxxxx xxxxxxxxxx, xxx manželov xxxxx xxxxxxxx xxxx xxxxxxx xxxx a xxx.)

XX. Xxxxxx, xx žiadate xxxxxxxx xxxxxxx xxxxx xxxxxxxxxxxxxxx xxxxx xxxxx xxxxxxxx xx peňažný xxxx; x takom xxxxxxx xxxxxxx oznámte xxxxx Vášho xxxx.

X. Xxxxxx xxxxx, kedy xx xxxx xxxxxxxxx x škode xxôxxxxxxx xxxxxxxx činom.

Uveďte dátum xxxxxxxxx xxxxxxxxx xxxx x xx xx xxxx x xxxxx xxx spôsobenej xxxxxxxxx xx neskôr, xxxxxx xxxx x ako (xxxxxxxxx x xxxxxxxxx xxxxxx - xxxxx xxx xxxxxxxxxx).

XX. Xxxxxxx xxxxx činný v xxxxxxxx xxxxxx (xxxxxxxxx xxxxx, xxxxxx xxxxxxxxxxxxxx, xxx), ktorý naposledy xxxxx konanie x xxxxxxxx xxxx. Xxxxxx xx xxxxxxx xxxxxx, xxx ktorou xxxxxxxx xxxxxxxxxxxx.

Xx xxxx x xxxxxxxxxx xxxxxxxx xxxxxxxxxxx xxxxxx xxxxxxx x xxxxxxxx xxxxxx, xxxxx xxxx predstavu o xxx, v xxxx xxxxxx xx xxx xxxxxxxx (xxxx. xxxxxxxxx x xxxxxxxx xxxxxxxxx xxxxxxxx, opis obžaloby, xxxxxxxx - x xxxxxxxxxxxxx), xxxxxxxx xx x xxxxxxxx.

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

Xxxľx xxxxxxxxxxx §8 zákona x. 209/1997 (Xx)., xxxxxxxx xxxxx xx xôxx xxxxxx alebo xx xxxxxxxx x prihliadnutím xx xx, xx xxxx xxxxxxx xxxxxx xxxxxxx prostriedky na xxxxxxxxxx xxxxxx xx xxxxxxx škody xx xxxxxxxľx xxxxx xxxx xxxxx, ktorá xxxxxxxxx xx xxxxx. Xxxxx xxx xxxxxxxxxxx, xx xxxxxxxľx xxxxxxxxx xxxx xxxxxxxxx.

Xxx XXXX. Xxxxxxx, xx xxxxxxxľ xx xxxxxxxxxx po osobe, xxxxx v xôxxxxxx xxxxxxxxx činu zomrela.

VIII. Xxxxxx, či xxx xxxxxxx xxxxxx, xxxxx xxľxx xxxxxxxxx uvedené x §2 odst. 2 xxxxxx x. 209/1997 Xx., prípadne xxľxx xxôx xxľxx xxxxx podmienky, xx xx Xxx tieto xxxxxxxxxxx xxxxx.

1. Boli xxx rodičom, manželom xxxxx xxxxxxxx xxxxx, xxxxx zomrela x xôxxxxxx xxxxxxxxx xxxx?

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

3. Xxxxxxxxxxx Vám xxxx trestného xxxx xxxxxx, xx xxxx x tomu povinná?

4. Xxľxxxx xxxxx osoby xxxxxxxxxxx podmienky 1 xx 3? Xxxxxx xxx xxxxx, xx Xxx xx xxxxx.

Xxxľx xxxxxxxxxxx §2 xxxx. 2 zákona č. 209/1997 Xx. xx xx xxxx považuje xxxxx pozostalá xx xxxxx, ktorá x xôxxxxxx xxxxxxxxx činu xxxxxxx, ak xx xxxxxxx, manželom xxxxx xxxxxxxx zomretého x xxxxxxx x čase xxxx smrti x xxx xxxx x xxxxxxxxxx xxxxx osoba, xxxxxx xxxxxx xxxxxxxxxx xxxxx bol xxxxxxx xxxxxxxxxx výživu.

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Body IX. xx XXX. Xxxxxxx, xx xx xxxxxxxľ xxxx obeťou trestného xxxx x xxxx xx xxôxxxxxx xxxx xx zdraví.

IX. Xxxxxx xxxxx, xxxx sa xxxxxxxx xxxxxxxx, xxxxxxxxxx xxxx xx xxxxxxxx xxxxxxxx xxxxxxxxxxx.

X. Xxxxxxx xxxxx bodového xxxxxxxxxxx xx xxxxxx činí:

K xxxxxxxx sa xxxx xxxxxxxx xxxxxx ohodnotenie xx bolesť xxxľx xxxxxxxx č. 440/2001 Zb., ktoré xxxxxxxľ xxxxx xx xxxxxx, xxxxx xx xxxxxxxxx. Tento lekársky xxxxxxx bude obsahovať xxxxxx xxxxxxxxxx vytrpenej xxxxxxx x xxxxxx xxxxxxxxxx sťaženia xxxxxxxxxxxxx xxxxxxxxxx. Pripomíname, xx xxx xxxxx xxxxxx č. 209/1997 Zb. je relevantné xxx xxxxxx xxxxxxxxxxx xxxxxxxxx xxxxxxx. Podľa xxxxxxxxxxx §6 xxxx. 2 xxxxxx x. 209/1997 Xx. xxxxxxx xxxxxxxxx' peňažnú pomoc, xx xxxxxx xxxxxxxxxxx xxxxxxxxx bolesti xxxxxxxxxx xxxxxxxx 100 bodov.

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

Xxxľx xxxxxxxxxxx §7 xxxx. 1 xxxx. a) zákona x. 209/1997 Xx. xx xxxxxxx obete xxxxx xxxxxxxxx peňažnú xxxxx xx xxxxx xxxxxxxxx sumy 25&xxxx;000.- Xx, xxxxx xx xxxxx zodpovedajúcej xxxxxxxxxxx xxxxxxxx xx liečenie x ušlému xxxxxxx. Xx xx rozhodnete xxxxxx x xxxxxxx xxxxx xx výške xxxxxxxxx xxxxxxx, nemusíte xx vyplňovať xxxx XXX. - XXX. xxxxx dotazníka.

XII. Xxxxxxx xxxxxxx s xxxxxxxx xxxxxx:

Xxx x xxxxxxx xx xxxxx, xxxxxxxxxxxx xxxôxxx, xxxxxxx xx xxxxxxxxxxxxx, xxxxxxxxx xxxxxx xxxxx na pomoc x domácnosti xx xxxxxxxxxx, xxxxxxx xxxxxxx xx xxxxxxx, x xxx. xxx xxxxxxxxxx, xx tieto xxxxxxx xxxxxxxxx pojsťovňa. Xx xxxxxxx náklady xx xxxxx doložiť, inak xx ne xxxxxxxxxxxx xxxxxxxxxxxxxx nebude xxxx xxxx zreteľ.

XIII. Xxxxxxx xxxxxxxxx xxxxxx xxxxxxxľx xxxx x xx xxxxxx xxxx na xxxxxx xxôxxxxxxx xxxxxxxx xxxxx.

X žiadosti xxxxxxxx xxxxxxx, xxxxx xxxxxxxxxx xxxxxxx xxxxxxxxxxx.

X prípade, xx xxxxxxxľ je x zamestnaneckom xxxxxx, xôxxx o xxxxxxxxxx xxxxxxxxxxxxľx x priemernom xxxxxxx podľa §351 x xxxx. xxxxxx x. 262/2006 Zb., xxxxxxxx práce, x xxxxx xxxxxxxxxx xxxxxxxxx. Xx xx xxxxxxxľ xxxxxx samostatne zárobkovo xxxxxx, xxxxx xxxxxxxx xxxx xxxxxxxxx xxxx xxxxxxxxxx xxxxxxxx priznania. Xx xxxxxxxľ xxxxxx xxxxxxxx xôxxxxxx, xxxxxxxx, xxxxx xôxx dokázať xxxxxxxx xxxxxxxx xxxxxxxx, xxxx xxxxxxxxxx x xxxxx xxxxxxxxxx xôxxxxxx. X xxxxxxx, xx x xxxxxxxx xxxxxxxxx xôxxxx xxxxxxx doložiť xxxxxxxxx xxxxxx xxxxxxxľx, x xxxxxxx xxxxxxx xx možné xxxxxxxx xxxxxxxxxx x xxxx xxxxxxx xxxxxxxxxx.

XXX. Xxxxxx xxxxx xxxxxxxxxxxx xxxxx (xxxxxxxxxxx xôxxxxxx) x xxxx, odkedy ich xxxxxxxľ xxxxxx, xx xxxxxxx xx vzniku xxxx xx xxxxxx, xxôxxxxxxx trestným xxxxx.

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

Xxxx xxxxxxxxx xxxxxx xx xxxx, xx xxxxxxxx xxxxx, xxxxxxx xxx xxx(x) xxxxxx, xx xxxx xxxxxxxx xxxxxxxx zhoršila. Xxxxx, xxxxx xx takto xxôxxxxx, xxxxxľ xxxxxx xxxxxxxx.

Xxxxxx xxxxxxxxxx, že xxxxx xx xxxxxxx xxxxx xx xxxxxxx xxxxx xx xxxxxxxxxxx xxxx spôsobenej trestným xxxxx xxx xxxxxxxxxx(x) x žiadnom xxxx xxxxx ako x Xxxxxx (Xxxxxxxxxx) republike.

Beriem xx xxxxxxx, že xx podľa xxx. §12 xxxxxx č. 209/1997 Zb., x xxxxxxxxxx peňažnej xxxxxx xxxxxxx trestnej xxxxxxxx x o zmene x x xxxxxxxx xxxxxxxxxx xxxxxxx, x xxxxx xxxxxxxxxx predpisov, xxxxxx povinnosť do xxxxxxx xxxxx xxx xxx, keď mi xxxxxxxx pomoc, xxxxxxx xx účet Xxxxxxxxxxxx xxxxxxxxxxxxxx xxxxxxx, xxxxx xxx xxxxxx(x) ako xxxxxxx xxxxx, x xx až xx xxxxx poskytnutej xxxxxx. Xxxxxxx s tým xxxxxx na xxxxxxx, xx xx xxxxxxxx xxxxxxxxxx xäxxxxxxx xxxx xôxxx xxxxxxxx Ministerstvo xxxxxxxxxxxxxx, aby xx x xxxx xxxxx xxxxxx práva xx xxxxxxxx xxxxxxxxxxx xxxxxx, xx xxxx xxxxxxxx xxxxxxxx bude xxxx xxxxxx odôvodňovať, celková xxxxx xxxxx, ktorú xx xxôxxxxxx a xxxxx xxxxxxx, xxxxx xxx xxxxxx(x).

Xxxxxx xxxx xx vedomie, xx xxxxxxxxx xxxxxxxx nesprávneho xxxxx neúplného xxxxx xx xxxx xxxxxxxxx xx xxxxxx xxxxxxxx xxxxxxxxxxxx výhody, xx xôxxx xxxxxxxx xxxxxxxxxx xxxľx §21 xxxx. 1 xxxx. x) xxxxxx x. 200/1990 Xx., x xxxxxxxxxxxx, x xxxxx xxxxxxxxxx xxxxxxxxx.

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xxxxxx xxxxxxxľx alebo xxxxxxxx

- Ministerstvo xxxxxxxxxxxxxx Xxxxx xxxxxxxxx xx xxxxxxx xxxxxxxx x xxxxxxxxxxx xxxxxxxx xxxxxx xxxľx zákona č. 209/1997 Zb. xxxxxxx xxx príjem x udelí xxxxxxxx xxxxx. Xxxxx bude xxxxxxxxxx na polícii xx xx xxxx xxxxxxxx xxxxxx xxxľx xxxxxxxxxxx okolností prípadu. Xx xxxxx xxxxxxxx xx podaní žiadosti x predložení potrebných xxxxxxxx xxx pomoc xxxxxxxx alebo žiadateľovi xxxxxx xôxxxx, prečo xxxxx xxxxxxx poskynúť.

- X zmysle zákona č. 209/1997 Zb. bude xxxxxxxľ xxxxxxxxxx xx xxxx xxx x xxxxxxx, xx mu x xôxxxxxx xxxxxxxxx xxxx xxxx xxôxxxxxx xxxxxxxxxx xxxxxxx. Xxxxxxxxxxx, xxx xxxx xxxxxxxxxxxx xxxxxxxxxx xx xxxxxxxxx peňažnej xxxxxx xxxxx xxxxx xx xxxxx xxxxxxxx xxxxxxxxxxx bolesti (xxx xxxx xxxxxxxx xxxxxxxxxxxxx xxxxxxxxxx) xxxxxxxxxxxx xxxxx 100 bodov. Xx xxxx sa xxxxxxxx xx xxxxx pozostalá xx obeti, xxxxx x dôsledku trestného xxxx xxxxxxx, ak xxxx xxxxxxx, xxxxxxxx xxxxx xxxxxxxx xxxxxxxxx x zároveň x xxxx xxxx smrti x ním xxxx x domácnosti, xxxxx xxxxx, xxxxxx xxxxxxx xxxxxxxxxx alebo xxx xxxxxxx poskytovať xxxxxx.

- Xxxxx č. 209/1997 Zb. x xxxxxxxxxx xxxxxxxxx xxxxxx xxxxxxx xxxxxxxx činnosti xxxxxxxxx xxxxxxxxxxx (xxxxxxxx) xxxx 1 roka xxx xxx, xxx xx xxxx xxxxxxxxx x xxxxx xxôxxxxxxx xxxxxxxx xxxxx. Xx xxxxx xxxx xx xxx xx deň xxxxxxxxx xxxxxxxxx činu, xxxx dokazuje okamžik, xxxx xx to xxxxx. Xxxxxxxxxxxx spravodlivosti xxxôxx xxxxxxxx žiadostiam x xxxxxxxxxxx xxxxxxxx xxxxxx, xxxxx mu xxxxxxxx xx uplynutí xxxxxxxxxx lehoty.

- Xxxxx xx xx žiadosť xxxxx, xxxxxx x xôxxxxxx xxxxxxxxx xxxx xxxxxxx xxxxx na xxxxxx, poskytne x xxxxxxxxx xxxx 25&xxxx;000.- Xx alebo vo xxxxx, ktorá xxxxxxxxxxx xxxxxxxxxx xxxxxx na xxxxxxx, xxxxxxxxxx xxxxxxx xxxxxxx x liečením, xxxxxxx o súčet xxxxxxxx xxxxxxx, xxxxx xxxx x xxxxxx xxxxxxx xxxxx xx xxxxxxx; xxxxx xx xxxxxx xxxxx xxxxxx xxxxxxxxxx xxxx 150&xxxx;000.- Xx. Xx xxxx - xx xxx, xxx xxx xxxxxxxx xxxxx - xxxxxxxx, xx xxx xxxxxxxxx xxxxx je vyššia xxx xx, xxxxx xxxx podkladom na xxxxxxxxxxx xxxxxx, xx xxx xxxxxxx x xxxxxx xxxxxxxxxx týmto xxxxxxx jej xxxxx xxxxxxxxx pomoc xxäx, x to xx xx xxxxxxxxxx xxxxx 150&xxxx;000.- Kč; xxxxxx xx prihliadne na xxxxxxx, xxxxx xx xxxx xxxxxxxxx.

- Xxxxxxxx xxxxx, xxxxx xx xxxxxxxxxx xx xxxxx, xxxxx x xôxxxxxx xxxxxxxxx činu xxxxxxx (xx bola xxxxxxx, xxxxxxxx xxxxx xxxxxxxx xxxxxxxxx x xxxxxxx x čase xxxx xxxxx x xxx xxxx x xxxxxxxxxx, xxxxx jej xxxxxxx xxxxxxxxxx, xx bol xxxxxxx xxxxxxxxxx xxxxxx), xx poskytne xxxxxxx xxxxx x xxxxxxxxx xxxx 150&xxxx;000.- Xx; xxxxx vo xxxxxx xxxxx nesmie presiahnuť xxxx 450 000.- Xx, x xx je xxxxx obetí viac xxx xxx xxxxx, xxxxxxxxxxx xxxxxxx xx xxx každej xxxxx xxxxxxxxx kráti.

- Zákon č. 209/1997 Zb. xxxxxxxxxxxx xxxxxxxx xxxxxxxxxxx zodpovednosti xxxxxxxxxxľx xxxxxxxxxx vozidiel, xx xxxxx xxxxäxxxx povinné xxxxxxx xxxxxxxxx xxxxxxxxxxxxx. Xxxxx xx potrebné x xxxxxxxxxxxxxx xxxxxxxxxx xxxôx žiadať xxxxxxx, xxxxx xxxxxxxx xxxxxxxxx xxxxxxxxxxxxx, o xxxxxxxxxxx xxxxxxxxx xxxxxxx. Xxx x celkom xxxxxxxxxxx xxxxxxxxx s xxxxxxxxxxxxx xx xxxxxxxxx xxxxxxxxx xxxxxxxxx xx xxxxx xxxxxx xxxxxxxxxxxx xxxxxxxxxxxxxx x xxxxxxxxxxx xxxxxxxx xxxxxx.

- Pripomíname, xx xx nevyhnutné priložiť xxxxxx xxxxxxxx xxxxxxx x potvrdenia, na xxxxx odkazujeme pri xxxxxxxxxxxx xxxxxxxxx. Xx xxx žiadateľ xxxxxxx, xxxxxxxxxxxx xxxxxxxxxxxxxx xxxôxx xxxxxxx xxxxxxx. Xx xxxxxx xxxxxxxxxx a xxxxxxx xxx dodatočne xxxxxx, xxxx skutočnosť xôxx xxx xôxxxxx xxxxxxxxxxxxx xxxxxxxx xxxxxx xxxľx xxxxxx č. 209/1997 Zb. Xx xxxx xxxxxxxxxx xxxxxxx xxxxx novú xxxxxxx.

- Upozorňujeme, xx xx bude xxxxxxxľxxx xxxxxxxxxx xxxxxxx pomoc, xxxxxxxľ xx xx xxxxxxx xxxxx xxx xxx xxxxxxxxxxx pomoci xxxxxxx na xxxx xxxxxxxxxxxx xxxxxxxxxxxxxx sumy, xxxxx xxxxxx xxx xxxxxxx škody (xx xxxxxxxľx, poisťovne x xxx.) xx xx xxxxx poskytnutej xxxxxx. Xxxx xxxxxxxxx xxxx, xx xx škodu xxxxxxxxxx. Xx základe xxxxxxxx obete sa xxxxxxxxxxxx xxxxxxxxxxxxxx môže x mene štátu xx xxxxxxxx stanovenej xäxxxxxxx doby xxxxx xxxxx xx vrátenie xxxxxxxxxxx peňažnej xxxxxx. Xx takýto postup xxôxxxxxxx xxxxxxxx xxxxxxxx xxxxx, celková výška xxxxx, xxxxx xxx xxôxxxxxx, x výška xxxxxxx, ktorú xxxx xxxxxxx.