Plné znění - 241/2006 Sb.

Xxxxxxxxxxxxx xxx xxx Xxxxxxxxxx xx Xxxxxxxxxxxx xxx xxx Provision xx Xxxxxxxxx Xxxxxxx xx Xxxxxxx xx Xxxxxxxx Xxxx xxxxxxxx to Xxx No. 209/1997 Xxxx., on xxx xxxxxxxxx xx xxxxxxxxx xxxxxxx to the xxxxxxx xx criminal xxxx xxx xx xxxxxxxx certain xxxxx xxxx, as xxxxxxx

Xxxx Xxx/Xxxxx,

Xx apologise for xxxxxxxxx xxx xxxx xxxxxxxx questions in xxxx xxxxxxx situation. Xxxxxxx, filling xx xxxx xxxxxxxxxxxxx is xxxxxxxx xxx xxx xxxxx assessment of xxxx application for xxx xxxxxxxxx xx xxxxxxxxx support xxxxxxxx xx Act no. 209/1997. Thank you xxx xxxx cooperation; xx is highly xxxxxxxxxxx.

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

1. Xxxxxxx:

2. Xxxxx name:

3. Xxxx xx xxxxx:

4. Xxxxxxxxx xxxxxxx:

5. Mail xxxxxxxx address (xxxxxx xx xxxxxx from xxx permanent xxxxxxx, xxxx):

6. Xxxxx Xxxxxx:

7. X-xxxx address:

8. Nationality:

II. Xx xxx applicant xx xxxxxxxxxxx xx xxxxxxx person ("xxxxxxxxxxxxxx") xx xxx basis xx xxxxxxxxx xxxxxxxxxxxxxx (xxx xxxxxxxx, x xxxxx child xxxxxxxxxxx xx his/her xxxxxx) xx on xxx xxxxx of x xxxxx xx xxxxxxxx, xxxxxx xxxx in xxx xxxx of xxxx xxxxxxxxxxxxxx:

1. Xxxxxxx:

2. Xxxxx xxxx:

3. Permanent xx xxxxxxxxxx xxxxxxx:

Xx xxx xxxxxxxxxxxxxx xx xxxxxx the application xx xxxxxx xx xxx xxxxxxxxx, xxxxxx xxxx xxxxxx a xxxxxxxx xxxxxxxxxxx xxx/xxx xx xxxxxxxxx xxx xxxxxxxxx - x xxxx xx a xxxxx xx attorney (xxx contractual xxxxxxxxxxxxxx) xx a xxxx xx xxx birth xxxxxxxxxxx (for statutory xxxxxxxxxxxxxx) xx any xxxxx equivalent xxxxxxxx.

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

1. Surname:

2. Given xxxx:

3. Date xx xxxxx:

4. Xxxx of xxxxx:

5. Xxxx permanent xxxxxxx:

6. Nationality:

7. Relationship xx xxx deceased xx xxx xxxxxxxxx (x.x. xxxxxx, xxxxxxxx, xx xxxxxxxxxx living xx xxxxxx xxxxxxxxx)

Xx xxx applicant xx x xxxxxxxx xx x person who xxxx in consequence xx the criminal xxx, xxxxxx xxxxxx x xxxx of xxx death xxxxxxxxxxx xxx xxx documents xxxxxxx xxxx the xxxxxxxx xxxxxxxxx xx xxx xx xxxxxxxxxx xx xxxxxxx xxx xxxxxxxx (xx the xxxx of a xxxxxx-xxxxx xxxxxxxxxxxx, xxxx xxxxxxxxx xxxxxxx xxxxx xxxxxxxxxxxx xx x xxxxx xxxxxxxx xx xxx xxxxxxxxxx xx xxxxxxx xxx dependent; xx xxx xxxx xx xxxxxxx xxxxxxx, xxxxxx xxxxxx a xxxxxxxx xxxxxxxxxxx).

Xxxxxx specify the xxxx xx which xxx xxxxx xxx xxxxxxxxx and, xx xxx xxxxxx xxxxxxx xxxxx the xxxxxxxxxxxx xx xxx xxxxx xx a later xxxx, xxxxxx xxxx xxxxxxx xxx date xxx xxx manner xx which xxx xxxxxx xxxxxxx of xxxx xxxxxxxxxxxx (e.g., xxx date xx xxx xxxxxxx report).

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

Xx xxxxxxxxx, please xxxxxx xxx xxxxxx decision xx the abovementioned xxxxxxxx justice xxxxxxxxx xxxxx xxxxx xxxxxxxx xxx xxxxx xx xxx respective xxxxxxxxxxx (x.x. xxxxxxxxxx on xxx discontinuation xx xxxxxxxx xxxxxxxxxxx, xxxx xx xxx xxxxxxxxxx, xxxxxxxxx - final xx otherwise).

According xx the xxxxxxxxxx xx §8 xx Xxx xx. 209/1997, xxx xxxxxx xx xxxxxxxxx xxxxxxx may xx xxxxxxx xx xxxxxxxx depending on xxxxxxx xxx xxxxxx xxx xxxx xxx xx xxx xxxxx xxxxxxxx xx xxxxxxx x claim xxx xxxxxxxxxxxx xxxxxxx the xxxxxxxx or any xxxxx xxxxxx responsible xxx xxx xxxx xxxxxxxx. Do not xxxx in xxxx xxxx xx the xxxxxxxx xxx xxx xxxx identified.

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Fill xx xxxx XxXx xx xxx applicant is x xxxxxxxx xx xx xxxxxxxxxx who xxx died in xxxxxxxxxxx of the xxxxxxxxx xxxxx.

1. Xxx you x xxxxx, xxxxxx or xxxxx of the xxxxxx who xxxx xx xxxxxxxxxxx of xxx xxxxxxxx xxxxxxx?

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

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

4. Xx xxx xxxxx xxxxxxx xxxx xxx xxxxxxxxxx described xx xxxxxxx 1 xx 3? Please give xxxxx xxxxxx, xx xxxxx to xxx.

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Xxxxxxxxx xx xxx xxxxxxxxxx xx §2, section 2 of Xxx xx. 209/1997, x xxxxxx who xx x survivor xx x victim xxx xxxx in xxxxxxxxxxx xx x xxxxxxxx xxx xx xxxxxxxxxx xx xx x xxxxxx xx xx xx xxx is x xxxxxx, spouse xx child of xxx xxxxxxxx xxx xxxxx with xxx xx xxx xx xxx xxxx xxxxxxxxx xx xx xxx xxxxxx xxx x xxxxxxxxx xx xxx xxxxxxxx xx the xxxxxxxx xxx required xx xxxxxxx xxx xxxxxx.

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

Xxxxxx xxxxxx x point-based assessment xx xxxx xxx xxxxxxxxx pursuant xx Xxxxxx Xx. 440/2001 Xxxx. Xxx respective xxxxxxxx xxxxxx xx xxxxxxxx from xxx xxxxxxxxx responsible xxx xxx victim's xxxxxxxxx. Xxxx medical xxxxxx xxxx contain x xxxxx-xxxxx assessment xx xxx xxx xxxxxxxx xxx x xxxxx-xxxxx xxxxxxxxxx xx the xxxxxxxx xx the xxxxxx'x social xxxxxxxx. Xxxxxx xxxx xx xxxx that xxxx xxx xxxxx-xxxxx xxxxxxxxxx xx xxx xxx xxxxxxxx xx xxxxxxxx xxx xxx purposes xx Xxx no. 209/1997. Xxxxxxxxx xx xxx xxxxxxxxxx xx §6, xxxxxxx 2 xx Xxx xx. 209/1997, xx xxxxxxxxx xxxxxxx xxxx be xxxxxxxx xxxxxx xxx xxxxx xxxxxxxxxx xx xxx xxxx xxxxxxxx xx at xxxxx 100 xxxxxx.

Xxx xxxxxx xxx xxxxxx xxxx sum financial xxxxxxx in the xxxxxx of XXX 25,000 xx xx xxxxxx equal xx xxx xxxxxx xxxxx xx xxxxxxx treatment xxx xxxx income (§7, section 1, xxxxxx x of Xxx No. 209/1997 Xxxx.). xx xxx xxxxxx xx xxxxx xxx a xxxx xxx xxxxxxx, there xx xx need xx xxxx xx xxxxx XXX - XxX.

This includes xxx xxxxxxxx xxx xxxxxxxxxx, sanitary xxxxxxxxx, xxxxxxxxxxxxxx costs, xxxxxx xx xxxxxxxxx xx xxxx out in xxx xxxx or xxxx medical treatment, xxxxxxxxx transportation costs xxx., xxxxxxxx xxxx xxxxx have xxx xxxx xxxx xx xx xxxxxxxxx xxxxxxx. xx xxxx expenses xxx not proved xx xxxxxxxxxxx xxxxxxxx, xxx Xxxxxxxx of Xxxxxxx may not xxxx them xxxx xxxxxxxxxxxxx.

Xxxxxx xxxxxx xxx xxxxxxxxx xxxxxxxxxx xxxx xxxxx xx xxx application.

If the xxxxxxxxx is xx xxxxxxxx, xxxxx xxxxxxxxx xxxxx include a xxxxxxxxx from xxx/xxx xxxxxxxx xxxxxxxxxx xxx xxxxxxx xxxxxx according xx §351 xx. xxx. of Xxx xx. 262/2006, the Xxxxx Labour Xxxx, xx xxxxxxx. xx xxx xxxxxxxxx is xxxx-xxxxxxxx, such document xxxxx xx x xxxx xx xxx/xxx xxxx xxxxxx xxx xxxxxx. lf the xxxxxxxxx xx a xxxxxxx xxxxxx who xx xxxx to xxxxx xxx/xxx impaired xxxxxx xxxxxxxx, xxxxxx xxxxxx x document xxxxxxxxxx the xxxxxx xx xxx retirement xxxxxxx. xx xxx xxx xxxxxx xxx xxxxxxxxx'x income xxxxxxxxx xxxxxx be proven, xx xxxxxxxxxxx cases xx xxxxxxxxx xxx xx xxxxxxxx.

Xx xxxxxx xxxxxxxx xxx xxxx impaired xx x result xx xxx criminal act xx which I xxx a xxxxxx. X xxxx xxx xxx been xxxxxxxxxxx xxx the xxxx 1 have xxxxxxxx xx x result xx xxx xxxxxxxx xxx.

X xxxxxx xxxxxx xxxx I xxxx xxx xxxxxx xxx xxxxx xxx financial xxxxxxx or xxx xxxxxxx claim for xxxxxxxxxxxx for xxx xxxx xxxxxxxx xx x result xx xxx xxxxxxxx act xx any xxxxxxx xxxxx xxxx the Xxxxx Xxxxxxxx.

X xxxxxxxxxxx xxxx according to §12 of Act Xx. 209/1997 Xxxx., xx xxx xxxxxxxxx xx financial xxxxxxx xxx xxx xxxxxxx xx xxxxxxxx acts xxx xx amending xxxxxxx xxxxx xxxx, xx xxxxxxx, X xx xxxxxxx xx xxxxxxxxx the Ministry xx Xxxxxxx xxx xxxxxx xxxxxxxx xx xxxxxxxxxxxx xxx the xxxx xxxxxxxx, up xx xxx xxxxxx xx xxx xxxxxxxxx xxxxxxx, within five xxxxx from the xxxx xx receiving xxx xxxxxxx support. X also xxxxxxxxxxx xxxx, xxxxx xxx xxxxx of the xxxx-xxxx xxxxxx, I xxx xxxx xx xxxxxxxxxxx asking xxx Xxxxxxxx xx Xxxxxxx xx waive the xxxxx'x xxxxx for xxx xxxxxx xx xxx xxxxxxxx xxxxxxx, xxxxxx such x xxxxxx xx xxxx xxxxxxxx xx xx xxxxxx xxxxxxxx, xxx xxxxx extent xx xxxx xxxxxxxx and xxx amount of xxxxxxxxxxxx received.

I xxxx xxxxxxxxxxx xxxx xxxxxxxxxxx xxxxxx false or xxxxxxxxxx information xx xxxxxxxxxxx xxxxxxxxxxx xxx xxx xxxxxxxx of xxxxxxxxxxxxx xxxxxxx xxxxxxxx xxx represent xx xxxxxxx xxxxxxxx to §21, section 1, xxxxxx x) of Xxx no. 200/1990 Xxxx., xx xxxxxxxx xx amended.

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Signature xx xxx applicant or xxx/xxx representative

- Xxxx xxxxxxx xx the xxxxxxxxxxx xxx the xxxxxxxxx xx xxxxxxxxx xxxxxxx xxxxxxxx xx Xxx Xx. 209/1997, xxx Ministry xx Xxxxxxx xxxxx confirm xxxxxxx xxx assign xx a xxxxxx xxxxxx. Subsequently, xxx Xxxxxxxx xxxxx xxxxxxxx xx investigation xxxx xxx police or x similar xxxxxxxxx xx per xxx xxxxxxxx xxxxxxx of xxx case. Xxxxxx xxxxx xxxxxx xxxx xxx date xx xxx receipt xx xxx application xxx xxxxxxxxxx of xxx xxxxxxxxx documents, the Xxxxxxxx shall either xxxxxxx the support xx xxxxxx xxx xxxxxxxxx xx the xxxxxxx xxx xxxx xxxxxxx xxx xxxx xxxxxxxx.

- Xxx applicant xxxxx be considered x xxxxxx as xxx Xxx Xx. 209/1997 Xxxx. xxxx xx xx/xxx has xxxxxxxx xxxxxx xxxx xx x result xx xxx commitment xx a xxxxx. X necessary but xxx the ohly xxxxxxxxx xxx xxx xxxxxx'x xxxxxxx xx xxxxxxxx support shall xx xxx xxxxxx xx xxx xxxxx-xxxxx xxxxxxxxxx xx xxx xxx xxxxxxxx (not xxx xxxxxxxxx of xxxxxx position), xxxxx xxxx xx xx xxxxx 100 points. Xxxxxxxxx xx a xxxxxx who has xxxx in xxxxxxxxxxx xx x crime xxxxx xx considered xx xx x xxxxxx xx xxx xxxxxxxx xx x xxxxxx, spouse xx xxxxx xx xxx xxxxxxxx and xxx xxxxxxxx shared x xxxxxxxxx with xxx xxxxxxxx at xxx xxxx of his/her xxxxx xx if xxx deceased xxxxxxxxx xx was xxxxxxxx xx xxxxxxx xxx xxxxxxxx.

- Act Xx. 209/1997 Coll. xx xxx provision xx xxxxxxxxx xxxxxxx xx xxxxxxx xx criminal xxxx xxxxxxxxxx a xxxxxxxxxx term xx 1 xxxx from xxx date on xxxxx xxx xxxxxx xxxxxxx of xxx xxxx xxxxxx by xxx crime. Xx xxxx date does xxx coincide xxxx xxx xxxx of xxx xxxxxxxxxx of xxx crime, xxx xxxxxx xxxxx xxxxxxx xxxxxxxx of xxx xxxx xx which xx/xxx xxxxxxx xx xxx xxxxxxxxxxxx. Xxx Xxxxxxxx xx Xxxxxxx xxxxxx xxxx an xxxxxxxxxxx xxx xxx xxxxxxxxx xx financial xxxxxxx received anytime xxxxx xxx xxxxx xx the xxxxxxxxxxxxxx xxxxxx.

- Xxxxxxxxx xxxxxxx xx xxxxxxx xxx xx a xxxxxx xxx has xxxxxxxx xxxxxx xxxx as x xxxxxx xx xxx xxxxxxxxxx xx x xxxxx xxx xx xx the xxxx of a xxxx sum xxxxxxxxx xx CZK 25,000 xx xx xxxxxx xxxxx to xxxx xxxxxx or the xxxxx of xxxxxxx xxxxxxxxx as xxxxxx xx the xxxxxx, xxxxxxx xx any xxxxxx xxxxxxxxxx paid xx the victim xx xxxxxxxxxxxx xxx xxx xxxx incurred. Xxx xxxxx xxxxxx xx xxxx xxxxxxx xxxx xxx xxxxxx XXX 150,000. Xx, xxxxx the xxxxxxxxx xx xxxxxxx, xxx xxxxxx proves xxxx xxx xxxx xxxxxxxx xxxxxxx the xxxxxx xxxxxxxx, xxx victim xxx xxxxxxx xxxxxxxxxx xxxxxxx xx xx xxx xxxxxx xx XXX 150,000 if xx/xxx applies xxx xx xxxxxx xxx xxxxxxxxxxxxxx xxxxxx of xxxx (x.x., 1 xxxx xxxx the xxxx xx which xxx victim learned xx xxx xxxx xxxxxx xx xxx xxxxx); xx such xxxx, xxx xxxxxxx xxxxxxx xxxx xxxx xx xxxxx xxxx xxxxxxx.

- Xx individual xxx is x xxxxxxxx of x xxxxxx xxx xxx xxxx xx a xxxxxx of xxx xxxxxxxxxx of x xxxxx (x parent, xxxxxx xx child xx the xxxxxxxx xxxxxx in x xxxxxx xxxxxxxxx xxxx xxx xxxxxxxx xx xxx xxxx of xxx/xxx xxxxx xx xxxxxxxxx xx xx xxxxxxxx xx be xxxxxxxxx xx xxx xxxxxxxx) xxxxx be xxxxxxxx with a xxxx sum amounting xx XXX 150,000. Xxx xxxxx xxxxxx xxxxxxxx as xxxxxxxxx xxxxxxx xxxxx not xxxxxx XXX 450,000; xxxxxx xxx xxxxxx xx victims exceed xxxxx, xxx xxxxxx xxxxxxxx xxx victim xxxxx be xxxxxxx xxxxxxxxxxx.

- Xxx No. 209/1997 Xxxx. xxxx xxx replace xxx xxxxxxxxx of xxx xxxxxxxxx xxxxxxxxx xx xxxxxxxxx xx motor xxxxxxxx xxxxxxx xx xxxxxxxxxx xxxxxxxxx insurance. Xx xxxxxxx xxxxxxx xx xxxxxxx xxxxxxxxx, xxxxxxxxxxxx for xxxxxxxxx xxxxxxxx xxxxxx xxxx xx xxxxxxxx xx xxx xxxxxxxx providing xxxx liability xxxxxxxxx. Xxxx xx isolated xxxxx, in view xx exceptional xxxxxxxxxxxxx, xxx xx xxxxxxxxxxx xxx the provision xx xxxxxxxxx support xx xxxxx with xxx Ministry xx Xxxxxxx.

- Xxxxxx xxxx xx xxxx xxxx xxx xxxxxxxxx documents xxx xxxxxxxxxxxxx xxxxxxxx xxx xxx xxxxxxxxxx xxxxx xxxx be xxxxxxxx xx xxx xxxxxxxxxxx. If the xxxxxxxxx xxxxx xx xx xx, xxx Xxxxxxxx of Xxxxxxx xxxxxx properly xxxxxxx xxx xxxxxxxxxxx. Xxxxxx xxx xxxxxxxxx xxxx xx deliver any xxxx xxxxxxxxx xxx xxxxxxxxxxxxx xxxx xxxxxx x xxxxxxxxxxxxx xxxxxxxx, xxxx xxxx may xxxxxxx x decision xx withhold any xxxxxxx xx xxx Xxx No. 209/1997 Xxxx. This xxxxx xxx, xxxxxxx, xxxxxxxxx xxx filing xx xxxxxxx xxxxxxxxxxx.

- Please xxxx xx xxxx xxxx the xxxxxxxxx xxxxx xx obliged xx xxxxxx any xxxxxxxxx xxxxxx xxxxxxxx xx xxxxxxxxxxxx xxx xxxx (from xxx xxxxxxxx, xxxxxxxx xxx.) xx xxx xxxxxxx xx xxx Xxxxxxxx xx Xxxxxxx xx xx xxx amount xx xxx xxxxxxx xxxxxxxx. Xxxx xxxxxxxxxx xxxx xxx xxxxx xx xx/xxx xxx xxx received xxx xxxxxxxxxxxx. If xx xxxxxxxxx by the xxxxxx xx xx xxxxxxxxxxx, the Ministry xx Xxxxxxx xxx xxxxx xxx xxxxx'x xxxxx xx xxxxx xxx xxxxxx of xxx xxxxxxxxx xxxxxxx xxxxxxxx xxxxx xxx xxxxx of xxx xxxx-xxxx term, xxxxxxxx xxxx x waiver xx xxxxxxxxx xx xxx xxxxxx'x social xxxxxxxx, xxx xxxxx xxxxxx xx xxx xxxx suffered and xxx xxxxxx of xxxxxxxxxxxx xxxx xx xxx victim.

Xxxxxx pán/pani/slečna

Ospravedlňujeme xx, že x xxxxxxxx, v xxxxxx xx xxxxxxxxxx, xxx xxxxxx Xxx xxxxxxxxx xxxxxxxxxxxx xxxxxxxx. V xxxxxx xxxxxxxx xxxxxxxxx Xxxxx xxxxxxxx x xxxxxxxxxxx xxxxxxxx xxxxxx xxxxxxx xxxxxxxx činnosti xxxľx xxxxxx č. 209/1997 Zb., xx xxxx vyplnenie xxxxx xxxxxxxxx nevyhnutné. Xxxxxxxx Vám xx xxxxxxxxxx, xxxxx xx xxxxx xxxxxx.

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X. Xxxxxx, xxxxxxx xxxxxxľxx xxxxxx xxxxx x xxxxxxxľxxx - xxxxx xxxxxxxxx xxxx, xxxxxx spôsobili xxxx na xxxxxx, xxxxx xxxxx xxxxxxxxxx xx osobe, xxxxx x dôsledku xxxxxxxxx xxxx xxxxxxx:

1. Xxxxxxxxxx:

2. Xxxx:

3. Dátum xxxxxxxxx:

4. Xxxxxx xxxxxxxx xxxxxx:

5. Xxxxxxxxxxxxxx xxxxxx (v xxxxxxx, xx sa xxxx od xxxxxx xxxxxxxx xxxxxxxx):

6. Xxxxxxx:

7. X-Xxxx:

8. Xxxxxxxxxx:

XX. Xx xxxxxxxľx zastupuje xxx xxxxx (zástupca) xx xxxxxxx xxxxxxxxx xxxxxxxxxx (xxxx. xxxxxxxx xxxxx xxxxxx rodičom) xxxxx xx xxxxxxx dohody x plnej moci, xxxxxxx xxxxx x xxxxxxxxxx:

1. Xxxxxxxxxx:

2. Xxxx:

3. Xxxxxxxxxxxxxx adresa:

Ak xxxxxxx xx xxx osobu, xxxx sa doložiť xxxxxxxxxx, ktorá zastúpenie xxxxxxx. Xxxxx x xxxxxxxx priložte kópiu xxxxx xxxx (xxx xxxxxxxx xxxxxxxxx) xxxxx xxxxx rodného xxxxx (x xxxxxxx xxxxxxxxx xxxxxxxxxx) alebo inú xxxxxxx listinu.

III. Ak xxxxxxxľ xxxxx osoba xxxxxxxxx xx osobe, xxxxx x xôxxxxxx xxxxxxxxx xxxx xxxxxxx, xxxxxxx, xxxxxx, xx xxxxx o umretej xxxxx:

1. Xxxxxxxxxx:

2. Xxxx:

3. Xxxxx xxxxxxxxx:

4. Xxxxx xxxxxx:

5. Xxxxxxxx xxxxxxxx:

7. Xxxxxxxxxx:

8. X xxxx xxxxxx bola xxxxxxx xxxxx x dôsledku xxxxxxxxx činu x xxxxx xxxxxxxľx (otec, xxxxx, osoba xxxxxx x spoločnej xxxxxxxxxx):

Xx xx xxxxxxxľ xxxxxx xxxxxxxxxx po xxxxx, xxxxx v xôxxxxxx xxxxxxxxx činu xxxxxxx, x xxxxxxxx xx xxxx priložiť kópia xxxxxxxx xxxxx x xxxxxxx, ktoré dokladajú xxxxxxxxxx, xx umretá xxxxx xxxxxxxxxx xxxxxxxxx xxxxx xxxxx xxxx xxxxxxxxx xx xxxxxxxxx (xx xxxxxx xxxxx - xxxxx xôxxx x xxxxx xxxx xxxxx xxxxxxxxxxx xxxx x vyživovacej povinnosti, xxx xxxxxxxx takou xxxxxxxx xxxx xxxxxxx xxxx a pod.)

IV. Xxxxxx, xx žiadate xxxxxxxx xxxxxxx xxxxx xxxxxxxxxxxxxxx xxxxx alebo xxxxxxxx na peňažný xxxx; v takom xxxxxxx xxxxxxx xxxxxxx xxxxx Xxxxx xxxx.

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

Xxxxxx xxxxx xxxxxxxxx xxxxxxxxx činu x ak xx xxxx o xxxxx xxx spôsobenej xxxxxxxxx xx xxxxôx, xxxxxx xxxx a xxx (xxxxxxxxx z lekárskej xxxxxx - dátum xxx xxxxxxxxxx).

XX. Označte xxxxx xxxxx x xxxxxxxx xxxxxx (xxxxxxxxx xxxxx, štátne xxxxxxxxxxxxxx, xxx), ktorý xxxxxxxxx xxxxx xxxxxxx x xxxxxxxx xxxx. Uveďte xx xxxxxxx xxxxxx, xxx xxxxxx xxxxxxxx xxxxxxxxxxxx.

Xx xxxx k xxxxxxxxxx xxxxxxxx xxxxxxxxxxx xxxxxx činného v xxxxxxxx xxxxxx, xxxxx xxxx xxxxxxxxx o xxx, x akom xxxxxx xx xxx xxxxxxxx (napr. xxxxxxxxx x odložení xxxxxxxxx xxxxxxxx, opis obžaloby, xxxxxxxx - x xxxxxxxxxxxxx), pripojte ho x žiadosti.

VII. Uveďte, xxxx spôsobom ste xxxxxxxxx xxxxx xx xxxxxxx xxxxx od xxxxxxxľx alebo xxxx xxxxx, xxxxx zodpovedá xx xxxxx.

Xxxľx xxxxxxxxxxx §8 xxxxxx x. 209/1997 (Xx)., xxxxxxxx xxxxx xx xôxx xxxxxx xxxxx xx xxxxxxxx x prihliadnutím xx xx, xx xxxx xxxxxxx xxxxxx xxxxxxx xxxxxxxxxxx xx xxxxxxxxxx nároku xx xxxxxxx xxxxx od xxxxxxxľx alebo xxxx xxxxx, xxxxx zodpovedá xx škodu. Xxxxx xxx xxxxxxxxxxx, xx xxxxxxxľx xxxxxxxxx xxxx xxxxxxxxx.

Xxx VIII. Vyplňte, xx xxxxxxxľ xx xxxxxxxxxx po osobe, xxxxx x xôxxxxxx xxxxxxxxx činu xxxxxxx.

XXXX. Xxxxxx, či ste xxxxxxx xxxxxx, xxxxx xxľxx xxxxxxxxx xxxxxxx x §2 xxxx. 2 xxxxxx x. 209/1997 Zb., prípadne xxľxx xxôx xxľxx xxxxx podmienky, xx xx Xxx xxxxx xxxxxxxxxxx xxxxx.

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

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

3. Poskytovala Vám xxxx trestného xxxx xxxxxx, xx bola x xxxx xxxxxxx?

4. Xxľxxxx xxxxx osoby xxxxxxxxxxx xxxxxxxxx 1 xx 3? Xxxxxx xxx počet, ak Xxx xx známy.

Podľa xxxxxxxxxxx §2 xxxx. 2 xxxxxx č. 209/1997 Xx. xx xx obeť xxxxxxxx xxxxx pozostalá po xxxxx, ktorá x xôxxxxxx xxxxxxxxx činu xxxxxxx, ak je xxxxxxx, xxxxxxxx alebo xxxxxxxx xxxxxxxxx x xxxxxxx x xxxx xxxx xxxxx x xxx xxxx x xxxxxxxxxx xxxxx xxxxx, xxxxxx xxxxxx xxxxxxxxxx xxxxx xxx xxxxxxx xxxxxxxxxx xxxxxx.

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Xxxx XX. xx XIV. Xxxxxxx, xx xx xxxxxxxľ xxxx xxxxxx trestného xxxx x xxxx xx xxôxxxxxx xxxx xx xxxxxx.

XX. Uveďte xxxxx, xxxx xx xxxxxxxx liečenie, xxxxxxxxxx xxxx sa xxxxxxxx xxxxxxxx xxxxxxxxxxx.

X. Xxxxxxx xxxxx xxxxxxxx ohodnotenia xx bolesť xxxx:

X xxxxxxxx xx musí xxxxxxxx xxxxxx xxxxxxxxxxx xx bolesť xxxľx xxxxxxxx č. 440/2001 Zb., ktoré xxxxxxxľ xxxxx xx xxxxxx, xxxxx xx xxxxxxxxx. Xxxxx lekársky xxxxxxx bude obsahovať xxxxxx xxxxxxxxxx vytrpenej xxxxxxx a bodové xxxxxxxxxx xxxxxxxx xxxxxxxxxxxxx xxxxxxxxxx. Pripomíname, xx xxx xxxxx xxxxxx č. 209/1997 Zb. xx relevantné xxx xxxxxx xxxxxxxxxxx xxxxxxxxx xxxxxxx. Xxxľx xxxxxxxxxxx §6 xxxx. 2 zákona č. 209/1997 Zb. xxxxxxx xxxxxxxxx' peňažnú xxxxx, xx xxxxxx ohodnotenie xxxxxxxxx xxxxxxx xxxxxxxxxx xxxxxxxx 100 xxxxx.

XX. Xxxxxx, xx xxxxxxx x xxxxxxxxxxx xxxxxxxx xxxxxx vo xxxxx xxxxxxxxx čiastky 25&xxxx;000.- Xx xxxxx xx xxxxxxxx výšku xxxxxx xxxxxxx x nákladov xx liečenie.

Podľa xxxxxxxxxxx §7 xxxx. 1 xxxx. a) xxxxxx x. 209/1997 Xx. xx xxxxxxx xxxxx xxxxx xxxxxxxxx xxxxxxx xxxxx xx výške xxxxxxxxx xxxx 25&xxxx;000.- Xx, xxxxx xx xxxxx xxxxxxxxxxxxxx xxxxxxxxxxx xxxxxxxx xx xxxxxxxx x xxxxxx zárobku. Xx sa rozhodnete xxxxxx x xxxxxxx xxxxx xx xxxxx xxxxxxxxx xxxxxxx, nemusíte xx vyplňovať xxxx XXX. - XXX. xxxxx xxxxxxxxx.

XXX. Xxxxxxx xxxxxxx x liečením xxxxxx:

Xxx o xxxxxxx xx xxxxx, zdravotnícke xxxôxxx, náklady xx xxxxxxxxxxxxx, xxxxxxxxx xxxxxx xxxxx xx pomoc x xxxxxxxxxx xx xxxxxxxxxx, zvýšené náklady xx xxxxxxx, a xxx. pod xxxxxxxxxx, xx tieto náklady xxxxxxxxx xxxxxxxxx. Xx xxxxxxx náklady xx xxxxx xxxxxxx, xxxx xx ne xxxxxxxxxxxx xxxxxxxxxxxxxx xxxxxx xxxx xxxx zreteľ.

XIII. Xxxxxxx xxxxxxxxx pomery žiadateľa xxxx x po xxxxxx xxxx na xxxxxx spôsobenej xxxxxxxx xxxxx.

X žiadosti xxxxxxxx xxxxxxx, xxxxx xxxxxxxxxx xxxxxxx skutočnosti.

V prípade, xx xxxxxxxľ je x zamestnaneckom xxxxxx, xôxxx o xxxxxxxxxx xxxxxxxxxxxxľx o priemernom xxxxxxx xxxľx §351 x xxxx. zákona x. 262/2006 Xx., xxxxxxxx xxxxx, x xxxxx xxxxxxxxxx xxxxxxxxx. Xx xx žiadateľ xxxxxx xxxxxxxxxx xxxxxxxxx xxxxxx, xxxxx listinou xxxx xxxxxxxxx opis xxxxxxxxxx xxxxxxxx priznania. Xx žiadateľ poberá xxxxxxxx xôxxxxxx, dokladom, xxxxx môže xxxxxxx xxxxxxxx sociálnu situáciu, xxxx xxxxxxxxxx o xxxxx starobného dôchodku. X prípade, xx x nejakého xxxxxxxxx xôxxxx xxxxxxx doložiť xxxxxxxxx xxxxxx žiadateľa, x krajnom prípade xx xxxxx xxxxxxxx xxxxxxxxxx x xxxx xxxxxxx xxxxxxxxxx.

XXX. Uveďte xxxxx xxxxxxxxxxxx xxxxx (xxxxxxxxxxx xôxxxxxx) x xxxx, odkedy xxx xxxxxxxľ poberá, xx xxxxxxx xx xxxxxx xxxx xx xxxxxx, xxôxxxxxxx trestným xxxxx.

X xxxxxxxx xxxxxxxx xxxxxxxxxx xxxxxxxxxxxxľx xxxxx poisťovne x xxxxx nemocenských xxxxx. X xxxxxxx, xx v dôsledku xxxxx xx xxxxxx xxôxxxxxxx xxxxxxxx xxxxx Xxx priznali invalidný xôxxxxxx, uveďte x xxxxxxx jeho xxxxx.

Xxxx xxxxxxxxx xxxxxx xx také, že xxxxxxxx činom, xxxxxxx xxx xxx(x) xxxxxx, xx xxxx sociálna xxxxxxxx xxxxxxxx. Xxxxx, xxxxx xx xxxxx xxôxxxxx, xxxxxľ xxxxxx xxxxxxxx.

Xxxxxx xxxxxxxxxx, xx xxxxx na xxxxxxx xxxxx či xxxxxxx xxxxx na xxxxxxxxxxx xxxx spôsobenej xxxxxxxx xxxxx xxx xxxxxxxxxx(x) x xxxxxxx xxxx xxxxx ako v Xxxxxx (Xxxxxxxxxx) xxxxxxxxx.

Xxxxxx xx xxxxxxx, xx xx xxxľx ust. §12 zákona x. 209/1997 Zb., x xxxxxxxxxx peňažnej xxxxxx xxxxxxx xxxxxxxx činnosti x o xxxxx x o xxxxxxxx xxxxxxxxxx zákonov, x xxxxx neskorších xxxxxxxxx, xxxxxx xxxxxxxxx do xxxxxxx xxxxx xxx xxx, keď xx xxxxxxxx xxxxx, xxxxxxx xx xxxx Ministerstva xxxxxxxxxxxxxx xxxxxxx, xxxxx xxx xxxxxx(x) xxx xxxxxxx xxxxx, x xx xx do xxxxx poskytnutej pomoci. Xxxxxxx x xxx xxxxxx xx xxxxxxx, xx xx xxxxxxxx xxxxxxxxxx päťročnej xxxx xôxxx xxxxxxxx Xxxxxxxxxxxx xxxxxxxxxxxxxx, aby sa x xxxx štátu xxxxxx xxxxx na xxxxxxxx poskytnutej xxxxxx, xx moja xxxxxxxx xxxxxxxx xxxx xxxx xxxxxx xxôxxxxxxxx, xxxxxxx xxxxx xxxxx, ktorú xx spôsobili x xxxxx náhrady, ktorú xxx dostal(a).

Beriem tiež xx vedomie, xx xxxxxxxxx uvedením xxxxxxxxxxx xxxxx xxxxxxxxx xxxxx xx xxxx xxxxxxxxx xx účelom xxxxxxxx xxxxxxxxxxxx výhody, sa xôxxx dopustiť priestupku xxxľx §21 odst. 1 xxxx. c) xxxxxx x. 200/1990 Xx., o xxxxxxxxxxxx, x xxxxx xxxxxxxxxx xxxxxxxxx.

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xxxxxx xxxxxxxľx alebo xxxxxxxx

- Xxxxxxxxxxxx spravodlivosti Xxxxx xxxxxxxxx po xxxxxxx xxxxxxxx x xxxxxxxxxxx xxxxxxxx xxxxxx xxxľx xxxxxx č. 209/1997 Zb. xxxxxxx xxx xxxxxx x xxxxx poradové xxxxx. Xxxxx bude xxxxxxxxxx xx polícii xx xx xxxx xxxxxxxx orgáne podľa xxxxxxxxxxx xxxxxxxxx xxxxxxx. Xx xxxxx xxxxxxxx xx xxxxxx xxxxxxxx x xxxxxxxxxx xxxxxxxxxx xxxxxxxx buď xxxxx xxxxxxxx xxxxx xxxxxxxľxxx xxxxxx dôvody, xxxxx xxxxx nemožno xxxxxxxx.

- X xxxxxx xxxxxx č. 209/1997 Zb. xxxx xxxxxxxľ xxxxxxxxxx xx xxxx xxx x xxxxxxx, xx mu x xôxxxxxx trestného xxxx xxxx xxôxxxxxx xxxxxxxxxx xxxxxxx. Xxxxxxxxxxx, nie xxxx postačujúcou podmienkou xx priznanie peňažnej xxxxxx takej obeti xx xxxxx xxxxxxxx xxxxxxxxxxx bolesti (xxx xxxx xxxxxxxx spoločenského xxxxxxxxxx) dosahujúceho aspoň 100 bodov. Xx xxxx xx xxxxxxxx xx xxxxx xxxxxxxxx xx obeti, ktorá x xôxxxxxx trestného xxxx xxxxxxx, ak xxxx xxxxxxx, xxxxxxxx xxxxx xxxxxxxx xxxxxxxxx x zároveň v xxxx xxxx smrti x xxx žila x domácnosti, xxxxx xxxxx, xxxxxx xxxxxxx xxxxxxxxxx xxxxx xxx xxxxxxx xxxxxxxxxx xxxxxx.

- Xxxxx č. 209/1997 Zb. x xxxxxxxxxx xxxxxxxxx pomoci xxxxxxx trestnej činnosti xxxxxxxxx xxxxxxxxxxx (xxxxxxxx) xxxx 1 roka xxx xxx, keď xx xxxx dozvedela x xxxxx xxôxxxxxxx xxxxxxxx xxxxx. Ak xxxxx xxxx xx xxx xx deň xxxxxxxxx xxxxxxxxx xxxx, xxxx xxxxxxxx xxxxxxx, xxxx sa xx xxxxx. Ministerstvo spravodlivosti xxxôxx xxxxxxxx xxxxxxxxxx x poskytnutie xxxxxxxx xxxxxx, ktoré xx xxxxxxxx xx uplynutí xxxxxxxxxx xxxxxx.

- Xxxxx xx xx xxxxxxx xxxxx, xxxxxx v xôxxxxxx xxxxxxxxx xxxx xxxxxxx škoda na xxxxxx, xxxxxxxx v xxxxxxxxx sume 25 000.- Xx xxxxx xx xxxxx, xxxxx xxxxxxxxxxx xxxxxxxxxx stratu na xxxxxxx, xxxxxxxxxx xxxxxxx xxxxxxx x liečením, xxxxxxx x xxxxx xxxxxxxx xxxxxxx, xxxxx xxxx x xxxxxx xxxxxxx škody xx xxxxxxx; xxxxx xx xxxxxx xxxxx xxxxxx xxxxxxxxxx sumu 150&xxxx;000.- Xx. Xx xxxx - xx tom, xxx xxx xxxxxxxx xxxxx - xxxxxxxx, xx jej xxxxxxxxx xxxxx xx xxxxxx xxx xx, ktorá xxxx xxxxxxxxx xx xxxxxxxxxxx xxxxxx, na xxx žiadosť v xxxxxx xxxxxxxxxx týmto xxxxxxx xxx možno xxxxxxxxx pomoc opäť, x xx xx xx xxxxxxxxxx xxxxx 150&xxxx;000.- Xx; pričom xx prihliadne xx xxxxxxx, xxxxx xx xxxx vyplatené.

- Fyzickej xxxxx, xxxxx xx xxxxxxxxxx xx xxxxx, xxxxx x dôsledku xxxxxxxxx xxxx xxxxxxx (xx xxxx xxxxxxx, xxxxxxxx alebo xxxxxxxx xxxxxxxxx a xxxxxxx x xxxx xxxx xxxxx x xxx xxxx x xxxxxxxxxx, xxxxx xxx xxxxxxx xxxxxxxxxx, xx bol xxxxxxx xxxxxxxxxx xxxxxx), xx poskytne xxxxxxx xxxxx x paušálnej xxxx 150&xxxx;000.- Kč; xxxxx xx xxxxxx xxxxx xxxxxx presiahnuť xxxx 450 000.- Kč, x ak xx xxxxx xxxxx viac xxx xxx xxxxx, xxxxxxxxxxx xxxxxxx sa xxx každej xxxxx xxxxxxxxx kráti.

- Zákon č. 209/1997 Zb. xxxxxxxxxxxx xxxxxxxx xxxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxxxľx xxxxxxxxxx vozidiel, xx xxxxx nadväzuje povinné xxxxxxx poistenie xxxxxxxxxxxxx. Xxxxx je xxxxxxxx x xxxxxxxxxxxxxx dopravných xxxôx žiadať xxxxxxx, xxxxx xxxxxxxx poistenie xxxxxxxxxxxxx, x poskytnutie xxxxxxxxx xxxxxxx. Len x celkom xxxxxxxxxxx xxxxxxxxx s prihliadnutím xx konkrétne xxxxxxxxx xxxxxxxxx xx xxxxx xxxxxx xxxxxxxxxxxx xxxxxxxxxxxxxx x xxxxxxxxxxx peňažnej xxxxxx.

- Pripomíname, že xx nevyhnutné xxxxxxxx xxxxxx xxxxxxxx xxxxxxx x potvrdenia, na xxxxx xxxxxxxxxx xxx xxxxxxxxxxxx xxxxxxxxx. Xx xxx xxxxxxxľ xxxxxxx, xxxxxxxxxxxx spravodlivosti nemôže xxxxxxx xxxxxxx. Xx xxxxxx xxxxxxxxxx a xxxxxxx ani xxxxxxxxx xxxxxx, xxxx xxxxxxxxxx xôxx byť xôxxxxx xxxxxxxxxxxxx peňažnej xxxxxx xxxľx zákona č. 209/1997 Zb. Xx xxxx nevylučuje xxxxxxx xxxxx xxxx xxxxxxx.

- Xxxxxxxxxxxx, xx xx xxxx xxxxxxxľxxx xxxxxxxxxx xxxxxxx pomoc, xxxxxxxľ xx do xxxxxxx xxxxx xxx xxx poskytnutia pomoci xxxxxxx xx účet xxxxxxxxxxxx xxxxxxxxxxxxxx xxxx, xxxxx xxxxxx ako xxxxxxx xxxxx (xx xxxxxxxľx, xxxxxxxxx a xxx.) xx do xxxxx xxxxxxxxxxx xxxxxx. Xxxx povinnosť xxxx, xx mu xxxxx xxxxxxxxxx. Na xxxxxxx xxxxxxxx xxxxx sa xxxxxxxxxxxx spravodlivosti xôxx x xxxx štátu xx xxxxxxxx stanovenej xäxxxxxxx xxxx vzdať xxxxx na xxxxxxxx xxxxxxxxxxx peňažnej pomoci. Xx xxxxxx xxxxxx xxôxxxxxxx xxxxxxxx xxxxxxxx xxxxx, celková výška xxxxx, xxxxx xxx xxôxxxxxx, x xxxxx xxxxxxx, xxxxx xxxx xxxxxxx.