Plné znění - 241/2006 Sb.

Xxxxxxxxxxxxx xxx the Assessment xx Applications xxx xxx Provision of Xxxxxxxxx Support xx Xxxxxxx xx Criminal Xxxx xxxxxxxx xx Xxx No. 209/1997 Xxxx., xx the xxxxxxxxx xx xxxxxxxxx xxxxxxx to the xxxxxxx xx criminal xxxx xxx on xxxxxxxx xxxxxxx xxxxx xxxx, as xxxxxxx

Xxxx Xxx/Xxxxx,

Xx xxxxxxxxx xxx xxxxxxxxx xxx xxxx xxxxxxxx xxxxxxxxx xx xxxx current situation. Xxxxxxx, xxxxxxx xx xxxx xxxxxxxxxxxxx xx xxxxxxxx xxx the xxxxx xxxxxxxxxx of xxxx application xxx xxx provision of xxxxxxxxx xxxxxxx xxxxxxxx xx Act xx. 209/1997. Xxxxx xxx xxx your xxxxxxxxxxx; xx is xxxxxx xxxxxxxxxxx.

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

1. Xxxxxxx:

2. Xxxxx xxxx:

3. Xxxx xx birth:

4. Xxxxxxxxx xxxxxxx:

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

6. Xxxxx Xxxxxx:

7. X-xxxx xxxxxxx:

8. Nationality:

II. Xx the applicant xx represented by xxxxxxx xxxxxx ("xxxxxxxxxxxxxx") xx xxx xxxxx xx statutory xxxxxxxxxxxxxx (xxx instance, x xxxxx xxxxx represented xx xxx/xxx parent) xx on xxx xxxxx of x xxxxx xx xxxxxxxx, xxxxxx xxxx xx xxx xxxx of xxxx representative:

1. Xxxxxxx:

2. Xxxxx xxxx:

3. Xxxxxxxxx xx xxxxxxxxxx address:

If xxx xxxxxxxxxxxxxx xx xxxxxx xxx xxxxxxxxxxx xx behalf xx xxx xxxxxxxxx, xxxxxx xxxx xxxxxx x xxxxxxxx authorizing xxx/xxx xx xxxxxxxxx the xxxxxxxxx - x xxxx of a xxxxx xx xxxxxxxx (xxx xxxxxxxxxxx representation) xx x xxxx xx the xxxxx xxxxxxxxxxx (for xxxxxxxxx xxxxxxxxxxxxxx) or any xxxxx xxxxxxxxxx document.

III. Xx the applicant xx x xxxxxxxx xx a xxxxxx xxx xxx xxxx xx consequenee of xxx xxxxxxxxxx criminal xxx, xxxxxx fill xx xxx xxxxxxxx xxxx xx xxx xxxxxxxx:

1. Surname:

2. Xxxxx xxxx:

3. Xxxx xx xxxxx:

4. Xxxx xx xxxxx:

5. Xxxx xxxxxxxxx xxxxxxx:

6. Xxxxxxxxxxx:

7. Xxxxxxxxxxxx xx the xxxxxxxx xx xxx xxxxxxxxx (x.x. xxxxxx, daughter, xx individual xxxxxx xx xxxxxx household)

If xxx applicant is x survivor of x person who xxxx in xxxxxxxxxxx xx xxx xxxxxxxx xxx, xxxxxx xxxxxx x xxxx xx xxx xxxxx xxxxxxxxxxx xxx xxx xxxxxxxxx xxxxxxx xxxx the xxxxxxxx xxxxxxxxx xx xxx xx xxxxxxxxxx xx xxxxxxx the xxxxxxxx (xx the xxxx xx x xxxxxx-xxxxx relationship, xxxx xxxxxxxxx xxxxxxx birth xxxxxxxxxxxx xx a xxxxx decision xx xxx xxxxxxxxxx xx xxxxxxx xxx xxxxxxxxx; xx xxx xxxx xx xxxxxxx xxxxxxx, xxxxxx xxxxxx x xxxxxxxx certificate).

Xxxxxx xxxxxxx xxx xxxx xx which xxx crime xxx xxxxxxxxx and, xx xxx xxxxxx xxxxxxx xxxxx xxx xxxxxxxxxxxx xx xxx crime xx x later xxxx, please also xxxxxxx xxx date xxx xxx xxxxxx xx xxxxx the xxxxxx xxxxxxx xx xxxx xxxxxxxxxxxx (x.x., xxx xxxx xx xxx medical xxxxxx).

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

Xx xxxxxxxxx, xxxxxx attach xxx xxxxxx xxxxxxxx xx the abovementioned xxxxxxxx xxxxxxx xxxxxxxxx xxxxx xxxxx xxxxxxxx xxx xxxxx xx xxx xxxxxxxxxx xxxxxxxxxxx (x.x. resolution on xxx discontinuation xx xxxxxxxx prosecution, copy xx the xxxxxxxxxx, xxxxxxxxx - final xx otherwise).

Xxxxxxxxx xx the xxxxxxxxxx xx §8 of Xxx xx. 209/1997, xxx xxxxxx xx xxxxxxxxx xxxxxxx xxx xx reduced xx xxxxxxxx xxxxxxxxx xx xxxxxxx xxx victim xxx made xxx xx all xxxxx xxxxxxxx xx xxxxxxx x xxxxx for xxxxxxxxxxxx xxxxxxx xxx xxxxxxxx xx xxx xxxxx xxxxxx xxxxxxxxxxx xxx xxx xxxx xxxxxxxx. Xx not xxxx xx xxxx xxxx xx xxx xxxxxxxx xxx not xxxx xxxxxxxxxx.

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Xxxx xx xxxx XxXx if xxx applicant xx x survivor xx xx xxxxxxxxxx xxx xxx died xx xxxxxxxxxxx xx xxx xxxxxxxxx crime.

1. Xxx you a xxxxx, spouse xx xxxxx of xxx xxxxxx xxx died xx xxxxxxxxxxx of xxx xxxxxxxx offence?

2. Xxx you live xx a common xxxxxxxxx with the xxxxxxxx person prior xx xxx commitment xx xxx crime?

3. Xxxx xxx a xxxxxxxxx xx xxx xxxxxx xx xxx xxx xxxxxxxx obliged xx support xxx?

4. Xx any xxxxx xxxxxxx xxxx xxx xxxxxxxxxx xxxxxxxxx in xxxxxxx 1 xx 3? Please xxxx xxxxx xxxxxx, xx xxxxx xx you.

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According xx xxx provisions xx §2, section 2 of Act xx. 209/1997, a xxxxxx xxx xx x survivor of x victim xxx xxxx in consequence xx x criminal xxx is xxxxxxxxxx xx xx x xxxxxx if xx xx xxx xx x xxxxxx, xxxxxx xx child of xxx xxxxxxxx xxx xxxxx with xxx xx xxx xx xxx same xxxxxxxxx xx if xxx xxxxxx xxx x xxxxxxxxx xx xxx xxxxxxxx xx xxx xxxxxxxx was required xx xxxxxxx the xxxxxx.

Xx xxx xxxxxxxxx xx xxx victim xx x xxxxx xxx xxx xxxxxxxx xxxxxx harm, xxxxxx xxxx in items XX - XIV.

Xxxxxx xxxxxx x xxxxx-xxxxx xxxxxxxxxx xx xxxx xxx xxxxxxxxx pursuant to Xxxxxx Xx. 440/2001 Xxxx. Xxx xxxxxxxxxx xxxxxxxx should xx xxxxxxxx from the xxxxxxxxx responsible xxx xxx xxxxxx'x treatment. Xxxx medical xxxxxx xxxx xxxxxxx x xxxxx-xxxxx xxxxxxxxxx of xxx pam suffered xxx a point-based xxxxxxxxxx xx the xxxxxxxx of xxx xxxxxx'x xxxxxx xxxxxxxx. Xxxxxx xxxx xx xxxx that xxxx xxx xxxxx-xxxxx xxxxxxxxxx xx the xxx xxxxxxxx is relevant xxx xxx xxxxxxxx xx Act xx. 209/1997. Xxxxxxxxx to xxx xxxxxxxxxx xx §6, section 2 xx Xxx xx. 209/1997, xx xxxxxxxxx xxxxxxx xxxx xx xxxxxxxx xxxxxx the xxxxx assessment of xxx xxxx xxxxxxxx xx xx least 100 xxxxxx.

The xxxxxx xxx obtain xxxx sum financial xxxxxxx xx xxx xxxxxx xx XXX 25,000 or xx xxxxxx equal xx xxx proved xxxxx xx xxxxxxx treatment xxx xxxx xxxxxx (§7, xxxxxxx 1, xxxxxx a xx Xxx No. 209/1997 Xxxx.). xx xxx xxxxxx xx xxxxx xxx x xxxx xxx payment, there xx xx xxxx xx fill xx xxxxx XXX - XxX.

Xxxx xxxxxxxx xxx xxxxxxxx xxx xxxxxxxxxx, xxxxxxxx equipment, xxxxxxxxxxxxxx xxxxx, xxxxxx xx xxxxxxxxx to xxxx xxx xx xxx xxxx or xxxx medical xxxxxxxxx, xxxxxxxxx transportation xxxxx xxx., provided such xxxxx xxxx xxx xxxx xxxx xx xx insurance xxxxxxx. xx xxxx expenses xxx xxx xxxxxx xx xxxxxxxxxxx xxxxxxxx, xxx Ministry of Xxxxxxx may xxx xxxx xxxx xxxx xxxxxxxxxxxxx.

Xxxxxx xxxxxx xxx documents xxxxxxxxxx xxxx xxxxx to xxx application.

If xxx xxxxxxxxx is xx xxxxxxxx, these xxxxxxxxx xxxxx xxxxxxx x xxxxxxxxx xxxx his/her xxxxxxxx xxxxxxxxxx xxx xxxxxxx salary xxxxxxxxx xx §351 et. xxx. xx Act xx. 262/2006, the Xxxxx Labour Code, xx xxxxxxx. lf xxx xxxxxxxxx xx xxxx-xxxxxxxx, such xxxxxxxx xxxxx xx a xxxx xx his/her xxxx recent tax xxxxxx. xx the xxxxxxxxx xx a xxxxxxx xxxxxx xxx xx able xx xxxxx his/her xxxxxxxx xxxxxx xxxxxxxx, please xxxxxx a document xxxxxxxxxx xxx xxxxxx xx the xxxxxxxxxx xxxxxxx. xx xxx xxx reason xxx xxxxxxxxx'x xxxxxx xxxxxxxxx xxxxxx xx xxxxxx, xx xxxxxxxxxxx cases xx affidavit may xx xxxxxxxx.

My xxxxxx xxxxxxxx has xxxx xxxxxxxx xx x result of xxx xxxxxxxx xxx xx xxxxx I xxx x victim. X have xxx xxx xxxx xxxxxxxxxxx xxx the xxxx 1 xxxx suffered xx x xxxxxx xx xxx xxxxxxxx xxx.

X xxxxxx xxxxxx xxxx I have xxx lodged xxx xxxxx for xxxxxxxxx xxxxxxx or xxx xxxxxxx xxxxx xxx xxxxxxxxxxxx for xxx xxxx suffered xx x xxxxxx xx xxx xxxxxxxx xxx xx xxx xxxxxxx xxxxx xxxx xxx Xxxxx Republic.

I acknowledge xxxx xxxxxxxxx xx §12 xx Xxx Xx. 209/1997 Xxxx., xx xxx provision xx financial xxxxxxx xxx xxx xxxxxxx xx criminal xxxx xxx xx amending xxxxxxx other acts, xx xxxxxxx, X xx xxxxxxx xx xxxxxxxxx xxx Xxxxxxxx xx Justice any xxxxxx received as xxxxxxxxxxxx xxx xxx xxxx xxxxxxxx, up xx xxx amount xx xxx xxxxxxxxx xxxxxxx, xxxxxx xxxx xxxxx xxxx xxx xxxx xx xxxxxxxxx xxx xxxxxxx xxxxxxx. X xxxx xxxxxxxxxxx xxxx, xxxxx the xxxxx of xxx xxxx-xxxx xxxxxx, X xxx file xx xxxxxxxxxxx asking xxx Xxxxxxxx xx Xxxxxxx xx waive xxx xxxxx'x claim xxx xxx xxxxxx of xxx xxxxxxxx xxxxxxx, xxxxxx such x xxxxxx xx well xxxxxxxx xx my xxxxxx xxxxxxxx, xxx xxxxx extent xx xxxx suffered and xxx amount of xxxxxxxxxxxx xxxxxxxx.

X also xxxxxxxxxxx xxxx consciously xxxxxx xxxxx xx xxxxxxxxxx information xx xxxxxxxxxxx xxxxxxxxxxx for xxx purposes xx xxxxxxxxxxxxx gaining xxxxxxxx xxx represent xx xxxxxxx xxxxxxxx xx §21, section 1, xxxxxx x) xx Xxx no. 200/1990 Xxxx., on offences xx amended.

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Signature xx xxx applicant or xxx/xxx representative

- Xxxx xxxxxxx of xxx xxxxxxxxxxx xxx xxx xxxxxxxxx of financial xxxxxxx xxxxxxxx to Xxx Xx. 209/1997, xxx Ministry xx Xxxxxxx xxxxx confirm xxxxxxx xxx xxxxxx xx x xxxxxx xxxxxx. Subsequently, xxx Xxxxxxxx shall xxxxxxxx xx xxxxxxxxxxxxx xxxx xxx xxxxxx or x xxxxxxx xxxxxxxxx xx per the xxxxxxxx xxxxxxx xx xxx xxxx. Xxxxxx xxxxx xxxxxx xxxx xxx xxxx of xxx receipt of xxx xxxxxxxxxxx xxx xxxxxxxxxx xx the xxxxxxxxx documents, xxx Xxxxxxxx xxxxx xxxxxx xxxxxxx xxx xxxxxxx xx xxxxxx the xxxxxxxxx of xxx xxxxxxx why such xxxxxxx xxx xxxx xxxxxxxx.

- The xxxxxxxxx xxxxx xx considered x xxxxxx xx xxx Xxx Xx. 209/1997 Xxxx. xxxx xx he/she has xxxxxxxx bodily xxxx xx x result xx xxx commitment xx x xxxxx. X xxxxxxxxx xxx xxx xxx ohly xxxxxxxxx xxx xxx xxxxxx'x receipt of xxxxxxxx xxxxxxx xxxxx xx xxx xxxxxx xx xxx point-based xxxxxxxxxx xx xxx xxx xxxxxxxx (not xxx xxxxxxxxx xx xxxxxx xxxxxxxx), which xxxx xx xx xxxxx 100 xxxxxx. Xxxxxxxxx of x xxxxxx who xxx xxxx xx consequence xx a xxxxx xxxxx xx considered xx xx a xxxxxx xx xxx xxxxxxxx xx a xxxxxx, spouse xx xxxxx xx the xxxxxxxx xxx the xxxxxxxx shared a xxxxxxxxx xxxx xxx xxxxxxxx xx xxx xxxx xx xxx/xxx xxxxx xx if xxx xxxxxxxx xxxxxxxxx xx xxx xxxxxxxx xx support xxx xxxxxxxx.

- Xxx Xx. 209/1997 Coll. xx xxx xxxxxxxxx xx xxxxxxxxx support to xxxxxxx xx xxxxxxxx xxxx stipulates x xxxxxxxxxx xxxx of 1 xxxx xxxx xxx xxxx xx xxxxx xxx xxxxxx xxxxxxx xx xxx xxxx caused xx xxx xxxxx. Xx xxxx xxxx xxxx xxx xxxxxxxx xxxx xxx xxxx xx xxx xxxxxxxxxx xx xxx crime, the xxxxxx xxxxx xxxxxxx xxxxxxxx xx xxx xxxx xx xxxxx xx/xxx learned of xxx consequences. Xxx Xxxxxxxx of Justice xxxxxx xxxx xx xxxxxxxxxxx xxx xxx xxxxxxxxx xx xxxxxxxxx xxxxxxx xxxxxxxx anytime xxxxx the lapse xx the xxxxxxxxxxxxxx xxxxxx.

- Xxxxxxxxx xxxxxxx xx xxxxxxx xxx xx a xxxxxx xxx has suffered xxxxxx xxxx xx x result xx xxx xxxxxxxxxx xx x crime may xx xx the xxxx xx x xxxx xxx amounting xx XXX 25,000 xx xx amount xxxxx to lost xxxxxx or xxx xxxxx xx xxxxxxx xxxxxxxxx as xxxxxx xx xxx xxxxxx, xxxxxxx by xxx xxxxxx xxxxxxxxxx xxxx xx xxx xxxxxx xx xxxxxxxxxxxx xxx xxx xxxx xxxxxxxx. Xxx xxxxx xxxxxx xx such xxxxxxx xxxx xxx xxxxxx XXX 150,000. Xx, xxxxx the xxxxxxxxx xx xxxxxxx, xxx xxxxxx xxxxxx xxxx xxx xxxx suffered xxxxxxx xxx xxxxxx xxxxxxxx, the victim xxx xxxxxxx xxxxxxxxxx xxxxxxx xx to xxx xxxxxx xx XXX 150,000 xx xx/xxx applies xxx xx xxxxxx the xxxxxxxxxxxxxx xxxxxx xx xxxx (x.x., 1 xxxx xxxx the xxxx xx which xxx xxxxxx xxxxxxx xx the harm xxxxxx by xxx xxxxx); xx xxxx xxxx, xxx xxxxxxx xxxxxxx xxxx will xx xxxxx xxxx xxxxxxx.

- Xx xxxxxxxxxx xxx xx a xxxxxxxx of x xxxxxx who xxx xxxx as x xxxxxx xx xxx xxxxxxxxxx xx x xxxxx (x xxxxxx, xxxxxx xx child xx xxx deceased xxxxxx xx x xxxxxx xxxxxxxxx xxxx xxx deceased xx xxx xxxx xx xxx/xxx xxxxx xx xxxxxxxxx by xx xxxxxxxx to xx xxxxxxxxx xx the xxxxxxxx) shall xx xxxxxxxx xxxx x xxxx xxx amounting xx XXX 150,000. Xxx xxxxx amount xxxxxxxx xx xxxxxxxxx xxxxxxx xxxxx xxx xxxxxx XXX 450,000; xxxxxx the xxxxxx xx xxxxxxx xxxxxx xxxxx, xxx xxxxxx xxxxxxxx xxx xxxxxx xxxxx be reduced xxxxxxxxxxx.

- Xxx Xx. 209/1997 Xxxx. does xxx replace xxx xxxxxxxxx xx the xxxxxxxxx xxxxxxxxx xx xxxxxxxxx of motor xxxxxxxx xxxxxxx xx xxxxxxxxxx xxxxxxxxx xxxxxxxxx. Xx xxxxxxx xxxxxxx xx traffic xxxxxxxxx, xxxxxxxxxxxx xxx xxxxxxxxx xxxxxxxx xxxxxx xxxx xx xxxxxxxx xx xxx xxxxxxxx xxxxxxxxx xxxx xxxxxxxxx insurance. Xxxx in xxxxxxxx xxxxx, in xxxx xx exceptional xxxxxxxxxxxxx, xxx xx application xxx the provision xx xxxxxxxxx support xx filed with xxx Ministry xx Xxxxxxx.

- Xxxxxx xxxx xx xxxx that xxx available documents xxx xxxxxxxxxxxxx xxxxxxxx xxx xxx xxxxxxxxxx xxxxx xxxx xx xxxxxxxx xx xxx xxxxxxxxxxx. Xx xxx xxxxxxxxx fails xx xx xx, xxx Xxxxxxxx xx Xxxxxxx xxxxxx properly xxxxxxx xxx application. Xxxxxx xxx xxxxxxxxx fail xx xxxxxxx xxx xxxx xxxxxxxxx and xxxxxxxxxxxxx xxxx xxxxxx x xxxxxxxxxxxxx xxxxxxxx, xxxx fact xxx xxxxxxx x decision xx xxxxxxxx xxx xxxxxxx xx per Xxx Xx. 209/1997 Xxxx. Xxxx xxxxx xxx, xxxxxxx, xxxxxxxxx xxx filing of xxxxxxx application.

- Xxxxxx xxxx in mind xxxx xxx applicant xxxxx be obliged xx xxxxxx xxx xxxxxxxxx xxxxxx received xx compensation for xxxx (xxxx xxx xxxxxxxx, xxxxxxxx etc.) xx xxx account xx the Xxxxxxxx xx Xxxxxxx xx xx xxx xxxxxx xx the xxxxxxx xxxxxxxx. Xxxx xxxxxxxxxx xxxx not xxxxx xx he/she xxx xxx received xxx xxxxxxxxxxxx. If so xxxxxxxxx xx xxx xxxxxx in an xxxxxxxxxxx, the Xxxxxxxx xx Justice may xxxxx xxx xxxxx'x xxxxx to claim xxx return xx xxx xxxxxxxxx xxxxxxx xxxxxxxx xxxxx xxx xxxxx of xxx xxxx-xxxx term, xxxxxxxx xxxx x xxxxxx xx justified xx xxx victim's social xxxxxxxx, xxx xxxxx xxxxxx xx xxx xxxx suffered xxx xxx xxxxxx xx xxxxxxxxxxxx xxxx xx xxx xxxxxx.

Vážený xxx/xxxx/xxxxxx

Xxxxxxxxxxxxxxx xx, že v xxxxxxxx, v ktorej xx xxxxxxxxxx, xxx xxxxxx Xxx xxxxxxxxx xxxxxxxxxxxx xxxxxxxx. V xxxxxx rýchleho xxxxxxxxx Xxxxx žiadosti x xxxxxxxxxxx xxxxxxxx xxxxxx xxxxxxx xxxxxxxx činnosti xxxľx xxxxxx č. 209/1997 Zb., xx však vyplnenie xxxxx xxxxxxxxx xxxxxxxxxx. Xxxxxxxx Xxx za xxxxxxxxxx, ktorú xx xxxxx ceníme.

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I. Prosím, xxxxxxx čitateľne osobné xxxxx x žiadateľovi - obeti xxxxxxxxx xxxx, ktorej spôsobili xxxx na xxxxxx, xxxxx xxxxx pozostalej xx xxxxx, xxxxx x xôxxxxxx xxxxxxxxx xxxx xxxxxxx:

1. Xxxxxxxxxx:

2. Xxxx:

3. Xxxxx xxxxxxxxx:

4. Xxxxxx trvalého xxxxxx:

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

6. Xxxxxxx:

7. X-Xxxx:

8. Xxxxxxxxxx:

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

1. Priezvisko:

2. Xxxx:

3. Xxxxxxxxxxxxxx adresa:

Ak xxxxxxx xx inú xxxxx, xxxx xx xxxxxxx xxxxxxxxxx, ktorá xxxxxxxxxx xxxxxxx. Xxxxx x xxxxxxxx xxxxxxxx xxxxx xxxxx xxxx (xxx xxxxxxxx xxxxxxxxx) xxxxx xxxxx xxxxxxx xxxxx (x prípade xxxxxxxxx xxxxxxxxxx) xxxxx xxx xxxxxxx listinu.

III. Xx xxxxxxxľ alebo xxxxx xxxxxxxxx po xxxxx, xxxxx v xôxxxxxx xxxxxxxxx xxxx xxxxxxx, xxxxxxx, prosím, xx xxxxx x xxxxxxx xxxxx:

1. Priezvisko:

2. Meno:

3. Xxxxx xxxxxxxxx:

4. Dátum xxxxxx:

5. Posledné xxxxxxxx:

7. Xxxxxxxxxx:

8. X xxxx xxxxxx xxxx zomretá xxxxx x dôsledku xxxxxxxxx xxxx x xxxxx žiadateľa (xxxx, xxxxx, xxxxx xxxxxx x spoločnej xxxxxxxxxx):

Xx xx xxxxxxxľ xxxxxx xxxxxxxxxx po xxxxx, xxxxx x xôxxxxxx xxxxxxxxx činu xxxxxxx, x xxxxxxxx sa xxxx priložiť xxxxx xxxxxxxx listu a xxxxxxx, ktoré dokladajú xxxxxxxxxx, xx xxxxxx xxxxx vyživovala xxxxxxxxx xxxxx alebo mala xxxxxxxxx xx xxxxxxxxx (xx vzťahu rodič - xxxxx pôjde x xxxxx xxxx xxxxx xxxxxxxxxxx súdu x xxxxxxxxxxx povinnosti, xxx xxxxxxxx xxxxx xxxxxxxx xxxx sobášny xxxx x pod.)

IV. Xxxxxx, xx xxxxxxx xxxxxxxx xxxxxxx pomoc xxxxxxxxxxxxxxx xxxxx alebo xxxxxxxx na xxxxxxx xxxx; x takom xxxxxxx xxxxxxx xxxxxxx xxxxx Xxxxx účtu.

V. Xxxxxx xxxxx, xxxx xx obeť xxxxxxxxx x škode xxôxxxxxxx xxxxxxxx xxxxx.

Xxxxxx xxxxx xxxxxxxxx xxxxxxxxx xxxx x ak xx xxxx x xxxxx xxx xxôxxxxxxx xxxxxxxxx xx xxxxôx, uveďte xxxx a xxx (xxxxxxxxx x xxxxxxxxx xxxxxx - dátum xxx xxxxxxxxxx).

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

Xx xxxx x xxxxxxxxxx xxxxxxxx rozhodnutie xxxxxx činného x xxxxxxxx konaní, ktoré xxxx xxxxxxxxx x xxx, x xxxx xxxxxx sa vec xxxxxxxx (xxxx. xxxxxxxxx x odložení xxxxxxxxx xxxxxxxx, xxxx xxxxxxxx, xxxxxxxx - x xxxxxxxxxxxxx), pripojte xx x xxxxxxxx.

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

Xxxľx xxxxxxxxxxx §8 zákona x. 209/1997 (Xx)., xxxxxxxx xxxxx xx xôxx xxxxxx xxxxx xx xxxxxxxx s xxxxxxxxxxxxx xx xx, xx xxxx xxxxxxx xxxxxx xxxxxxx xxxxxxxxxxx na xxxxxxxxxx nároku xx xxxxxxx škody xx xxxxxxxľx alebo xxxx xxxxx, xxxxx xxxxxxxxx xx škodu. Xxxxx xxx xxxxxxxxxxx, ak xxxxxxxľx xxxxxxxxx xxxx xxxxxxxxx.

Xxx XXXX. Vyplňte, xx žiadateľ xx xxxxxxxxxx po osobe, xxxxx v dôsledku xxxxxxxxx xxxx xxxxxxx.

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

1. Xxxx xxx xxxxxxx, manželom xxxxx xxxxxxxx xxxxx, xxxxx zomrela v xôxxxxxx xxxxxxxxx činu?

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

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

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

Podľa xxxxxxxxxxx §2 xxxx. 2 xxxxxx x. 209/1997 Xx. xx xx obeť xxxxxxxx xxxxx xxxxxxxxx xx xxxxx, xxxxx v xôxxxxxx xxxxxxxxx xxxx xxxxxxx, ak je xxxxxxx, xxxxxxxx alebo xxxxxxxx xxxxxxxxx x xxxxxxx x xxxx xxxx smrti s xxx xxxx v xxxxxxxxxx xxxxx osoba, xxxxxx nebohý xxxxxxxxxx xxxxx bol xxxxxxx xxxxxxxxxx výživu.

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Body XX. xx XXX. Xxxxxxx, xx sa žiadateľ xxxx xxxxxx trestného xxxx a xxxx xx xxôxxxxxx ujma xx zdraví.

IX. Xxxxxx xxxxx, xxxx xx xxxxxxxx xxxxxxxx, xxxxxxxxxx xxxx xx skončila xxxxxxxx neschopnosť.

X. Xxxxxxx xxxxx bodového xxxxxxxxxxx xx xxxxxx xxxx:

X xxxxxxxx xx musí xxxxxxxx bodové xxxxxxxxxxx xx xxxxxx xxxľx xxxxxxxx č. 440/2001 Zb., xxxxx xxxxxxxľ xxxxx xx xxxxxx, xxxxx ho xxxxxxxxx. Xxxxx lekársky xxxxxxx xxxx xxxxxxxxx xxxxxx xxxxxxxxxx xxxxxxxxx xxxxxxx x bodové xxxxxxxxxx sťaženia xxxxxxxxxxxxx xxxxxxxxxx. Xxxxxxxxxxx, že xxx xxxxx xxxxxx č. 209/1997 Zb. je xxxxxxxxxx xxx xxxxxx xxxxxxxxxxx xxxxxxxxx bolesti. Podľa xxxxxxxxxxx §6 xxxx. 2 xxxxxx č. 209/1997 Xx. xxxxxxx xxxxxxxxx' peňažnú xxxxx, xx xxxxxx xxxxxxxxxxx xxxxxxxxx xxxxxxx nedosiahne xxxxxxxx 100 xxxxx.

XX. Xxxxxx, či žiadate x xxxxxxxxxxx xxxxxxxx xxxxxx vo výške xxxxxxxxx xxxxxxx 25&xxxx;000.- Xx alebo xx xxxxxxxx xxxxx xxxxxx xxxxxxx a nákladov xx xxxxxxxx.

Xxxľx ustanovenia §7 xxxx. 1 xxxx. a) xxxxxx x. 209/1997 Xx. xx xxxxxxx xxxxx xxxxx xxxxxxxxx peňažnú xxxxx xx xxxxx xxxxxxxxx sumy 25&xxxx;000.- Xx, xxxxx xx xxxxx xxxxxxxxxxxxxx xxxxxxxxxxx xxxxxxxx na liečenie x xxxxxx xxxxxxx. Xx xx xxxxxxxxxx xxxxxx o xxxxxxx xxxxx xx xxxxx xxxxxxxxx xxxxxxx, xxxxxxxx xx xxxxxxxxx xxxx XXX. - XXX. xxxxx xxxxxxxxx.

XXX. Náklady xxxxxxx x xxxxxxxx xxxxxx:

Xxx x náklady xx xxxxx, xxxxxxxxxxxx xxxôxxx, xxxxxxx xx xxxxxxxxxxxxx, pribranie xxxxxx xxxxx na pomoc x xxxxxxxxxx xx xxxxxxxxxx, xxxxxxx xxxxxxx xx dopravu, x xxx. xxx podmienkou, xx tieto xxxxxxx xxxxxxxxx pojsťovňa. Tu xxxxxxx xxxxxxx xx xxxxx xxxxxxx, inak xx xx xxxxxxxxxxxx xxxxxxxxxxxxxx nebude xxxx xxxx zreteľ.

XIII. Popište xxxxxxxxx pomery xxxxxxxľx xxxx a xx xxxxxx xxxx na xxxxxx xxôxxxxxxx xxxxxxxx xxxxx.

X xxxxxxxx xxxxxxxx xxxxxxx, ktoré xxxxxxxxxx xxxxxxx xxxxxxxxxxx.

X prípade, xx xxxxxxxľ xx x xxxxxxxxxxxxxx xxxxxx, xôxxx x potvrdenie xxxxxxxxxxxxľx o xxxxxxxxxx xxxxxxx podľa §351 x xxxx. zákona x. 262/2006 Xx., xxxxxxxx práce, x xxxxx xxxxxxxxxx xxxxxxxxx. Xx xx žiadateľ xxxxxx xxxxxxxxxx zárobkovo xxxxxx, takou xxxxxxxx xxxx xxxxxxxxx xxxx xxxxxxxxxx daňového xxxxxxxxx. Xx žiadateľ xxxxxx xxxxxxxx dôchodok, xxxxxxxx, xxxxx xôxx xxxxxxx xxxxxxxx sociálnu xxxxxxxx, xxxx xxxxxxxxxx x xxxxx xxxxxxxxxx dôchodku. X prípade, xx x xxxxxxxx xxxxxxxxx xôxxxx nemožno xxxxxxx xxxxxxxxx xxxxxx xxxxxxxľx, x krajnom xxxxxxx xx xxxxx xxxxxxxx xxxxxxxxxx x xxxx xxxxxxx xxxxxxxxxx.

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

K xxxxxxxx xxxxxxxx xxxxxxxxxx xxxxxxxxxxxxľx alebo xxxxxxxxx x xxxxx xxxxxxxxxxxx xxxxx. X xxxxxxx, xx v xôxxxxxx xxxxx xx xxxxxx xxôxxxxxxx xxxxxxxx činom Xxx xxxxxxxx xxxxxxxxx xôxxxxxx, xxxxxx x xxxxxxx xxxx xxxxx.

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

Xxxxxx xxxxxxxxxx, že xxxxx xx xxxxxxx xxxxx či xxxxxxx xxxxx xx odškodnenie xxxx spôsobenej xxxxxxxx xxxxx xxx neuplatnil(a) x xxxxxxx xxxx xxxxx xxx x Xxxxxx (Xxxxxxxxxx) republike.

Beriem xx xxxxxxx, xx xx xxxľx ust. §12 xxxxxx x. 209/1997 Xx., x xxxxxxxxxx xxxxxxxx pomoci xxxxxxx xxxxxxxx xxxxxxxx x o zmene x x xxxxxxxx xxxxxxxxxx xxxxxxx, x xxxxx neskorších predpisov, xxxxxx xxxxxxxxx xx xxxxxxx xxxxx odo xxx, keď xx xxxxxxxx xxxxx, odviesť xx účet Xxxxxxxxxxxx xxxxxxxxxxxxxx xxxxxxx, xxxxx xxx dostal(a) xxx xxxxxxx škody, x xx xx xx xxxxx poskytnutej xxxxxx. Xxxxxxx x tým xxxxxx xx xxxxxxx, xx xx xxxxxxxx xxxxxxxxxx xäxxxxxxx xxxx xôxxx xxxxxxxx Xxxxxxxxxxxx xxxxxxxxxxxxxx, xxx sa x mene xxxxx xxxxxx práva xx xxxxxxxx xxxxxxxxxxx xxxxxx, xx xxxx xxxxxxxx xxxxxxxx bude taký xxxxxx odôvodňovať, xxxxxxx xxxxx xxxxx, xxxxx xx xxôxxxxxx x xxxxx xxxxxxx, xxxxx xxx xxxxxx(x).

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

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xxxxxx žiadateľa xxxxx xxxxxxxx

- Ministerstvo xxxxxxxxxxxxxx Xxxxx xxxxxxxxx xx xxxxxxx xxxxxxxx o xxxxxxxxxxx xxxxxxxx pomoci xxxľx xxxxxx č. 209/1997 Zb. xxxxxxx jej xxxxxx x xxxxx poradové xxxxx. Xxxxx xxxx xxxxxxxxxx xx xxxxxxx xx xx xxxx xxxxxxxx xxxxxx podľa xxxxxxxxxxx okolností xxxxxxx. Xx xxxxx xxxxxxxx xx xxxxxx xxxxxxxx x xxxxxxxxxx xxxxxxxxxx xxxxxxxx xxx xxxxx xxxxxxxx xxxxx xxxxxxxľxxx xxxxxx xôxxxx, xxxxx xxxxx nemožno xxxxxxxx.

- X xxxxxx zákona č. 209/1997 Zb. bude xxxxxxxľ xxxxxxxxxx xx xxxx xxx x xxxxxxx, xx xx v xôxxxxxx xxxxxxxxx xxxx xxxx spôsobené xxxxxxxxxx xxxxxxx. Nevyhnutnou, xxx xxxx postačujúcou podmienkou xx priznanie xxxxxxxx xxxxxx xxxxx xxxxx xx xxxxx xxxxxxxx xxxxxxxxxxx bolesti (nie xxxx xxxxxxxx xxxxxxxxxxxxx xxxxxxxxxx) xxxxxxxxxxxx xxxxx 100 xxxxx. Za xxxx sa xxxxxxxx xx xxxxx xxxxxxxxx xx xxxxx, xxxxx x dôsledku xxxxxxxxx xxxx zomrela, ak xxxx rodičom, manželom xxxxx dieťaťom zomretého x zároveň x xxxx xxxx smrti x xxx xxxx x xxxxxxxxxx, xxxxx xxxxx, xxxxxx xxxxxxx xxxxxxxxxx alebo xxx xxxxxxx xxxxxxxxxx výživu.

- Xxxxx č. 209/1997 Zb. o xxxxxxxxxx xxxxxxxxx pomoci xxxxxxx xxxxxxxx xxxxxxxx xxxxxxxxx prekluzívnu (xxxxxxxx) xxxx 1 xxxx xxx xxx, keď xx obeť xxxxxxxxx x škode xxôxxxxxxx xxxxxxxx xxxxx. Xx xxxxx xxxx xx xxx je xxx xxxxxxxxx xxxxxxxxx činu, xxxx xxxxxxxx xxxxxxx, xxxx sa xx xxxxx. Xxxxxxxxxxxx xxxxxxxxxxxxxx xxxôxx xxxxxxxx žiadostiam x xxxxxxxxxxx peňažnej xxxxxx, ktoré xx xxxxxxxx po xxxxxxxx xxxxxxxxxx xxxxxx.

- Xxxxx xx xx xxxxxxx xxxxx, xxxxxx v xôxxxxxx xxxxxxxxx xxxx xxxxxxx xxxxx xx xxxxxx, poskytne x xxxxxxxxx xxxx 25&xxxx;000.- Xx xxxxx xx xxxxx, xxxxx xxxxxxxxxxx xxxxxxxxxx xxxxxx xx xxxxxxx, xxxxxxxxxx xxxxxxx xxxxxxx s xxxxxxxx, xxxxxxx o súčet xxxxxxxx čiastok, xxxxx xxxx z xxxxxx xxxxxxx škody xx xxxxxxx; pomoc xx xxxxxx xxxxx xxxxxx xxxxxxxxxx sumu 150&xxxx;000.- Xx. Ak xxxx - po xxx, xxx jej xxxxxxxx xxxxx - xxxxxxxx, xx xxx vzniknutá xxxxx xx xxxxxx xxx xx, xxxxx xxxx xxxxxxxxx xx xxxxxxxxxxx pomoci, xx xxx xxxxxxx x xxxxxx xxxxxxxxxx xxxxx xxxxxxx jej xxxxx xxxxxxxxx pomoc xxäx, x xx xx xx maximálnej výšky 150&xxxx;000.- Kč; pričom xx prihliadne xx xxxxxxx, xxxxx xx xxxx xxxxxxxxx.

- Xxxxxxxx xxxxx, xxxxx je xxxxxxxxxx xx xxxxx, xxxxx x xôxxxxxx xxxxxxxxx xxxx zomrela (xx xxxx xxxxxxx, xxxxxxxx alebo xxxxxxxx xxxxxxxxx x zároveň x čase jeho xxxxx s xxx xxxx v domácnosti, xxxxx xxx xxxxxxx xxxxxxxxxx, či xxx xxxxxxx poskytovať xxxxxx), xx poskytne xxxxxxx xxxxx x xxxxxxxxx xxxx 150&xxxx;000.- Xx; xxxxx vo xxxxxx xxxxx xxxxxx presiahnuť xxxx 450 000.- Xx, x ak xx xxxxx xxxxx xxxx xxx tri xxxxx, xxxxxxxxxxx xxxxxxx sa xxx každej obeti xxxxxxxxx xxxxx.

- Xxxxx č. 209/1997 Zb. nenahradzuje xxxxxxxx xxxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxxxľx xxxxxxxxxx xxxxxxxx, xx xxxxx xxxxäxxxx xxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxxxxxx. Xxxxx je xxxxxxxx x xxxxxxxxxxxxxx xxxxxxxxxx xxxôx xxxxxx subjekt, xxxxx xxxxxxxx xxxxxxxxx xxxxxxxxxxxxx, x poskytnutie xxxxxxxxx plnenia. Len x celkom ojedinelých xxxxxxxxx x prihliadnutím xx xxxxxxxxx xxxxxxxxx xxxxxxxxx xx možné xxxxxx xxxxxxxxxxxx xxxxxxxxxxxxxx x xxxxxxxxxxx peňažnej xxxxxx.

- Xxxxxxxxxxx, že xx xxxxxxxxxx xxxxxxxx xxxxxx xxxxxxxx xxxxxxx x xxxxxxxxxx, xx xxxxx xxxxxxxxxx xxx xxxxxxxxxxxx položkách. Xx xxx žiadateľ neučiní, xxxxxxxxxxxx xxxxxxxxxxxxxx nemôže xxxxxxx xxxxxxx. Xx xxxxxx xxxxxxxxxx x xxxxxxx xxx xxxxxxxxx xxxxxx, xxxx xxxxxxxxxx xôxx xxx dôvodom xxxxxxxxxxxxx peňažnej xxxxxx xxxľx zákona č. 209/1997 Zb. Xx však xxxxxxxxxx xxxxxxx xxxxx xxxx xxxxxxx.

- Xxxxxxxxxxxx, že xx bude xxxxxxxľxxx xxxxxxxxxx peňažná pomoc, xxxxxxxľ je xx xxxxxxx xxxxx odo xxx xxxxxxxxxxx xxxxxx xxxxxxx na účet xxxxxxxxxxxx xxxxxxxxxxxxxx sumy, xxxxx dostal xxx xxxxxxx xxxxx (od xxxxxxxľx, xxxxxxxxx x xxx.) xx xx xxxxx xxxxxxxxxxx pomoci. Xxxx povinnosť xxxx, xx xx xxxxx xxxxxxxxxx. Xx xxxxxxx xxxxxxxx xxxxx xx xxxxxxxxxxxx xxxxxxxxxxxxxx xôxx x xxxx xxxxx xx xxxxxxxx xxxxxxxxxx xäxxxxxxx doby xxxxx xxxxx na xxxxxxxx xxxxxxxxxxx xxxxxxxx xxxxxx. Xx xxxxxx xxxxxx xxôxxxxxxx xxxxxxxx xxxxxxxx xxxxx, celková výška xxxxx, xxxxx xxx xxôxxxxxx, x xxxxx xxxxxxx, ktorú xxxx xxxxxxx.