Plné znění - 241/2006 Sb.

Xxxxxxxxxxxxx xxx xxx Assessment xx Xxxxxxxxxxxx xxx xxx Xxxxxxxxx of Xxxxxxxxx Xxxxxxx xx Xxxxxxx xx Criminal Xxxx xxxxxxxx xx Xxx Xx. 209/1997 Xxxx., on xxx xxxxxxxxx xx xxxxxxxxx xxxxxxx to xxx xxxxxxx of criminal xxxx xxx xx xxxxxxxx certain other xxxx, xx xxxxxxx

Xxxx Xxx/Xxxxx,

Xx xxxxxxxxx for xxxxxxxxx xxx with xxxxxxxx questions in xxxx xxxxxxx situation. Xxxxxxx, xxxxxxx xx xxxx questionnaire xx xxxxxxxx for xxx xxxxx xxxxxxxxxx xx xxxx xxxxxxxxxxx for xxx xxxxxxxxx xx xxxxxxxxx support xxxxxxxx xx Act xx. 209/1997. Xxxxx xxx xxx xxxx cooperation; xx is xxxxxx xxxxxxxxxxx.

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X. Please legibly xxxx xx the xxxxxxxx data xx xxx xxxxxxxxx - x.x. the xxxxxx xx xxx xxxxxxxx xxx who xxx xxxxxxxx bodily xxxx, xx xxx survivor xx a person xxx xxx xxxx xx consequence xx xxx xxxxxxxx act:

1. Xxxxxxx:

2. Given xxxx:

3. Xxxx xx xxxxx:

4. Xxxxxxxxx xxxxxxx:

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

6. Xxxxx Xxxxxx:

7. X-xxxx xxxxxxx:

8. Xxxxxxxxxxx:

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

1. Xxxxxxx:

2. Xxxxx xxxx:

3. Xxxxxxxxx xx registered xxxxxxx:

Xx xxx xxxxxxxxxxxxxx xx xxxxxx the xxxxxxxxxxx xx xxxxxx xx xxx xxxxxxxxx, xxxxxx xxxx xxxxxx x xxxxxxxx xxxxxxxxxxx him/her xx represent xxx xxxxxxxxx - a xxxx xx x xxxxx of xxxxxxxx (xxx xxxxxxxxxxx representation) xx a xxxx xx the xxxxx xxxxxxxxxxx (for statutory xxxxxxxxxxxxxx) or xxx xxxxx xxxxxxxxxx document.

III. Xx the xxxxxxxxx xx a survivor xx x xxxxxx xxx has died xx xxxxxxxxxxx xx xxx xxxxxxxxxx xxxxxxxx xxx, please fill xx the personal xxxx xx the xxxxxxxx:

1. Xxxxxxx:

2. Xxxxx xxxx:

3. Xxxx of xxxxx:

4. Xxxx xx xxxxx:

5. Xxxx xxxxxxxxx xxxxxxx:

6. Nationality:

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

Xx xxx xxxxxxxxx xx x xxxxxxxx of x person xxx xxxx xx xxxxxxxxxxx xx xxx xxxxxxxx xxx, please xxxxxx x xxxx xx xxx xxxxx xxxxxxxxxxx xxx xxx documents xxxxxxx that xxx xxxxxxxx xxxxxxxxx xx xxx xx xxxxxxxxxx xx xxxxxxx xxx xxxxxxxx (in the xxxx xx x xxxxxx-xxxxx relationship, such xxxxxxxxx include xxxxx xxxxxxxxxxxx xx a xxxxx xxxxxxxx on xxx obligation to xxxxxxx xxx xxxxxxxxx; xx xxx xxxx xx xxxxxxx couples, xxxxxx xxxxxx a xxxxxxxx certificate).

Xxxxxx xxxxxxx the xxxx on xxxxx xxx crime xxx xxxxxxxxx xxx, xx xxx xxxxxx xxxxxxx xxxxx xxx xxxxxxxxxxxx xx the xxxxx xx a xxxxx xxxx, xxxxxx xxxx xxxxxxx the xxxx xxx xxx manner xx which the xxxxxx xxxxxxx of xxxx xxxxxxxxxxxx (e.g., xxx xxxx xx xxx xxxxxxx xxxxxx).

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

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

According xx xxx xxxxxxxxxx xx §8 xx Xxx no. 209/1997, xxx xxxxxx xx xxxxxxxxx xxxxxxx xxx xx reduced xx xxxxxxxx depending on xxxxxxx xxx xxxxxx xxx xxxx xxx xx xxx xxxxx xxxxxxxx xx enforce x xxxxx xxx xxxxxxxxxxxx xxxxxxx the xxxxxxxx xx xxx xxxxx xxxxxx xxxxxxxxxxx xxx xxx 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 xxx xxx xxxx in xxxxxxxxxxx xx xxx xxxxxxxxx xxxxx.

1. Xxx you x xxxxx, spouse xx xxxxx xx xxx xxxxxx who died xx xxxxxxxxxxx xx xxx xxxxxxxx offence?

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

3. Xxxx xxx x xxxxxxxxx xx xxx xxxxxx or was xxx xxxxxxxx xxxxxxx xx support you?

4. Xx xxx other xxxxxxx xxxx the xxxxxxxxxx xxxxxxxxx in xxxxxxx 1 xx 3? Please give xxxxx xxxxxx, xx xxxxx xx xxx.

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Xxxxxxxxx xx the xxxxxxxxxx xx §2, section 2 xx Act xx. 209/1997, x xxxxxx who xx x xxxxxxxx of x xxxxxx who xxxx xx xxxxxxxxxxx xx a xxxxxxxx xxx xx xxxxxxxxxx xx be x xxxxxx if xx xx xxx xx x xxxxxx, xxxxxx xx xxxxx xx xxx xxxxxxxx and xxxxx xxxx xxx xx xxx in xxx xxxx xxxxxxxxx xx if xxx xxxxxx xxx a xxxxxxxxx xx the xxxxxxxx xx xxx xxxxxxxx xxx required xx xxxxxxx xxx xxxxxx.

Xx xxx applicant xx xxx xxxxxx xx a xxxxx xxx xxx xxxxxxxx xxxxxx xxxx, xxxxxx xxxx in items XX - XIV.

Xxxxxx xxxxxx x xxxxx-xxxxx xxxxxxxxxx xx pain and xxxxxxxxx xxxxxxxx xx Xxxxxx No. 440/2001 Xxxx. Xxx respective xxxxxxxx xxxxxx be xxxxxxxx from xxx xxxxxxxxx xxxxxxxxxxx for xxx xxxxxx'x xxxxxxxxx. Xxxx xxxxxxx report xxxx contain x xxxxx-xxxxx assessment xx xxx pam xxxxxxxx xxx x xxxxx-xxxxx xxxxxxxxxx xx the xxxxxxxx xx xxx xxxxxx'x xxxxxx xxxxxxxx. Xxxxxx xxxx xx xxxx xxxx xxxx xxx xxxxx-xxxxx assessment xx xxx xxx xxxxxxxx is xxxxxxxx xxx the purposes xx Xxx xx. 209/1997. Xxxxxxxxx xx xxx xxxxxxxxxx of §6, xxxxxxx 2 xx Act xx. 209/1997, xx xxxxxxxxx xxxxxxx xxxx xx xxxxxxxx xxxxxx xxx xxxxx xxxxxxxxxx xx xxx xxxx suffered xx xx xxxxx 100 xxxxxx.

Xxx xxxxxx xxx xxxxxx xxxx xxx financial xxxxxxx xx the xxxxxx xx XXX 25,000 xx xx xxxxxx equal to xxx xxxxxx xxxxx xx xxxxxxx xxxxxxxxx xxx xxxx xxxxxx (§7, xxxxxxx 1, xxxxxx a xx Xxx No. 209/1997 Xxxx.). xx xxx xxxxxx to apply xxx x xxxx xxx xxxxxxx, xxxxx xx xx xxxx xx xxxx xx xxxxx XII - XxX.

This xxxxxxxx xxx xxxxxxxx xxx xxxxxxxxxx, sanitary xxxxxxxxx, xxxxxxxxxxxxxx xxxxx, xxxxxx xx assistant to xxxx xxx in xxx xxxx or xxxx xxxxxxx xxxxxxxxx, xxxxxxxxx transportation xxxxx xxx., xxxxxxxx xxxx xxxxx xxxx xxx xxxx xxxx xx xx insurance xxxxxxx. xx xxxx expenses xxx xxx proved xx xxxxxxxxxxx evidence, xxx Xxxxxxxx xx Xxxxxxx xxx not xxxx xxxx xxxx xxxxxxxxxxxxx.

Xxxxxx attach xxx xxxxxxxxx confirming xxxx facts xx xxx application.

If xxx xxxxxxxxx xx an xxxxxxxx, these documents xxxxx xxxxxxx x xxxxxxxxx xxxx xxx/xxx xxxxxxxx xxxxxxxxxx xxx xxxxxxx xxxxxx according xx §351 xx. xxx. of Xxx xx. 262/2006, xxx Xxxxx Xxxxxx Xxxx, xx amended. xx xxx xxxxxxxxx xx xxxx-xxxxxxxx, such xxxxxxxx xxxxx xx x xxxx of xxx/xxx xxxx xxxxxx xxx xxxxxx. xx xxx xxxxxxxxx xx x xxxxxxx xxxxxx xxx xx able xx xxxxx his/her xxxxxxxx xxxxxx xxxxxxxx, xxxxxx xxxxxx x xxxxxxxx xxxxxxxxxx the xxxxxx xx the xxxxxxxxxx xxxxxxx. xx for xxx xxxxxx xxx xxxxxxxxx'x xxxxxx xxxxxxxxx xxxxxx xx xxxxxx, xx xxxxxxxxxxx cases xx affidavit may xx xxxxxxxx.

My xxxxxx xxxxxxxx xxx xxxx xxxxxxxx as x xxxxxx of xxx criminal act xx xxxxx I xxx x victim. X xxxx not xxx xxxx xxxxxxxxxxx xxx the xxxx 1 xxxx suffered xx x xxxxxx xx xxx xxxxxxxx xxx.

X hereby xxxxxx xxxx I xxxx xxx xxxxxx xxx xxxxx xxx xxxxxxxxx xxxxxxx or xxx xxxxxxx claim xxx xxxxxxxxxxxx for the xxxx xxxxxxxx xx x xxxxxx of xxx xxxxxxxx xxx xx any xxxxxxx xxxxx than xxx Xxxxx Republic.

I xxxxxxxxxxx xxxx according xx §12 xx Xxx Xx. 209/1997 Xxxx., xx xxx provision xx xxxxxxxxx xxxxxxx xxx xxx victims xx xxxxxxxx xxxx xxx xx xxxxxxxx xxxxxxx other xxxx, xx xxxxxxx, X xx xxxxxxx xx xxxxxxxxx xxx Xxxxxxxx xx Justice xxx xxxxxx xxxxxxxx as xxxxxxxxxxxx xxx xxx xxxx xxxxxxxx, xx xx xxx xxxxxx xx xxx xxxxxxxxx xxxxxxx, within xxxx xxxxx from xxx xxxx xx receiving xxx xxxxxxx xxxxxxx. X xxxx xxxxxxxxxxx xxxx, after the xxxxx xx xxx xxxx-xxxx xxxxxx, X xxx file an xxxxxxxxxxx xxxxxx xxx Xxxxxxxx xx Xxxxxxx xx xxxxx xxx xxxxx'x claim xxx xxx xxxxxx xx xxx xxxxxxxx xxxxxxx, xxxxxx xxxx x xxxxxx xx xxxx xxxxxxxx by my xxxxxx standing, xxx xxxxx extent xx xxxx xxxxxxxx xxx xxx xxxxxx of xxxxxxxxxxxx xxxxxxxx.

X also xxxxxxxxxxx xxxx consciously xxxxxx false or xxxxxxxxxx xxxxxxxxxxx xx xxxxxxxxxxx xxxxxxxxxxx for xxx xxxxxxxx xx xxxxxxxxxxxxx xxxxxxx xxxxxxxx xxx represent xx xxxxxxx pursuant xx §21, xxxxxxx 1, xxxxxx x) xx Xxx no. 200/1990 Xxxx., xx xxxxxxxx xx amended.

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Signature xx xxx xxxxxxxxx xx xxx/xxx representative

- Xxxx xxxxxxx xx xxx xxxxxxxxxxx xxx xxx xxxxxxxxx xx financial xxxxxxx pursuant xx Xxx Xx. 209/1997, xxx Ministry of Xxxxxxx shall xxxxxxx xxxxxxx xxx xxxxxx xx a xxxxxx xxxxxx. Xxxxxxxxxxxx, the Xxxxxxxx xxxxx xxxxxxxx xx investigation xxxx xxx xxxxxx xx x similar xxxxxxxxx xx xxx xxx xxxxxxxx details xx xxx case. Xxxxxx xxxxx months xxxx xxx xxxx xx xxx receipt of xxx application and xxxxxxxxxx of the xxxxxxxxx xxxxxxxxx, xxx Xxxxxxxx shall xxxxxx xxxxxxx xxx xxxxxxx xx xxxxxx xxx xxxxxxxxx xx the xxxxxxx xxx such xxxxxxx has xxxx xxxxxxxx.

- Xxx applicant xxxxx be xxxxxxxxxx x xxxxxx xx xxx Xxx No. 209/1997 Xxxx. xxxx xx xx/xxx xxx xxxxxxxx xxxxxx xxxx xx a result xx xxx xxxxxxxxxx xx x crime. X xxxxxxxxx xxx xxx the ohly xxxxxxxxx xxx the xxxxxx'x xxxxxxx of xxxxxxxx support xxxxx xx xxx xxxxxx xx xxx point-based xxxxxxxxxx of xxx xxx suffercd (not xxx weakening xx xxxxxx position), xxxxx xxxx be xx xxxxx 100 points. Xxxxxxxxx xx x xxxxxx who xxx xxxx xx consequence xx x xxxxx xxxxx xx xxxxxxxxxx xx xx a xxxxxx xx the xxxxxxxx is a xxxxxx, spouse xx xxxxx xx the xxxxxxxx and the xxxxxxxx xxxxxx a xxxxxxxxx xxxx xxx xxxxxxxx xx xxx xxxx of xxx/xxx xxxxx xx xx xxx xxxxxxxx xxxxxxxxx xx xxx xxxxxxxx xx xxxxxxx the xxxxxxxx.

- Act Xx. 209/1997 Xxxx. xx xxx provision xx xxxxxxxxx xxxxxxx xx xxxxxxx xx xxxxxxxx xxxx xxxxxxxxxx x xxxxxxxxxx xxxx xx 1 xxxx xxxx xxx xxxx xx xxxxx the victim xxxxxxx of xxx xxxx caused by xxx xxxxx. If xxxx date xxxx xxx xxxxxxxx xxxx xxx xxxx of xxx commitment xx xxx xxxxx, xxx xxxxxx xxxxx xxxxxxx xxxxxxxx xx xxx xxxx on xxxxx xx/xxx xxxxxxx xx xxx xxxxxxxxxxxx. The Xxxxxxxx of Justice xxxxxx xxxx xx xxxxxxxxxxx for the xxxxxxxxx xx financial xxxxxxx xxxxxxxx xxxxxxx xxxxx the xxxxx xx xxx xxxxxxxxxxxxxx xxxxxx.

- Financial xxxxxxx xx xxxxxxx for xx x xxxxxx xxx has suffered xxxxxx xxxx xx x xxxxxx of xxx xxxxxxxxxx xx x xxxxx xxx xx in xxx xxxx xx x xxxx sum xxxxxxxxx xx XXX 25,000 xx an amount xxxxx xx xxxx xxxxxx xx xxx xxxxx of xxxxxxx xxxxxxxxx xx xxxxxx xx xxx victim, xxxxxxx by any xxxxxx xxxxxxxxxx paid xx the xxxxxx xx xxxxxxxxxxxx xxx xxx xxxx xxxxxxxx. Xxx xxxxx xxxxxx xx such support xxxx xxx xxxxxx XXX 150,000. If, xxxxx the xxxxxxxxx xx xxxxxxx, the xxxxxx xxxxxx xxxx xxx xxxx xxxxxxxx xxxxxxx xxx xxxxxx xxxxxxxx, xxx xxxxxx xxx xxxxxxx xxxxxxxxxx xxxxxxx xx xx xxx xxxxxx xx XXX 150,000 if xx/xxx applies for xx xxxxxx xxx xxxxxxxxxxxxxx xxxxxx xx xxxx (x.x., 1 xxxx xxxx xxx xxxx xx xxxxx xxx xxxxxx learned xx xxx xxxx xxxxxx by xxx xxxxx); xx xxxx xxxx, any xxxxxxx xxxxxxx xxxx will xx taken xxxx xxxxxxx.

- Xx xxxxxxxxxx xxx xx x xxxxxxxx of x xxxxxx xxx xxx xxxx xx a xxxxxx of xxx xxxxxxxxxx of a xxxxx (a parent, xxxxxx or xxxxx xx xxx xxxxxxxx xxxxxx in a xxxxxx xxxxxxxxx xxxx xxx deceased xx xxx time xx xxx/xxx death xx xxxxxxxxx xx xx xxxxxxxx xx xx xxxxxxxxx by xxx xxxxxxxx) xxxxx be xxxxxxxx xxxx x xxxx xxx xxxxxxxxx xx CZK 150,000. Xxx xxxxx xxxxxx xxxxxxxx xx xxxxxxxxx xxxxxxx shall xxx xxxxxx XXX 450,000; xxxxxx the number xx xxxxxxx exceed xxxxx, the amount xxxxxxxx xxx victim xxxxx xx reduced xxxxxxxxxxx.

- Xxx No. 209/1997 Xxxx. xxxx xxx xxxxxxx xxx xxxxxxxxx xx xxx xxxxxxxxx xxxxxxxxx xx xxxxxxxxx xx xxxxx xxxxxxxx xxxxxxx xx xxxxxxxxxx liability xxxxxxxxx. Xx xxxxxxx related xx xxxxxxx accidents, xxxxxxxxxxxx xxx insurance xxxxxxxx xxxxxx xxxx xx xxxxxxxx xx xxx xxxxxxxx providing xxxx liability xxxxxxxxx. Xxxx xx xxxxxxxx xxxxx, in xxxx xx xxxxxxxxxxx xxxxxxxxxxxxx, xxx xx xxxxxxxxxxx xxx xxx xxxxxxxxx xx xxxxxxxxx support xx filed xxxx xxx Xxxxxxxx xx Xxxxxxx.

- Xxxxxx bear xx xxxx that xxx xxxxxxxxx xxxxxxxxx xxx xxxxxxxxxxxxx xxxxxxxx xxx the xxxxxxxxxx xxxxx xxxx xx xxxxxxxx xx xxx xxxxxxxxxxx. If xxx xxxxxxxxx xxxxx xx xx xx, xxx Xxxxxxxx of Xxxxxxx xxxxxx xxxxxxxx xxxxxxx xxx xxxxxxxxxxx. Should xxx applicant xxxx xx xxxxxxx any xxxx xxxxxxxxx xxx xxxxxxxxxxxxx even within x xxxxxxxxxxxxx xxxxxxxx, xxxx xxxx xxx xxxxxxx a decision xx withhold any xxxxxxx xx per Xxx Xx. 209/1997 Xxxx. This xxxxx xxx, xxxxxxx, prejudice xxx xxxxxx xx xxxxxxx xxxxxxxxxxx.

- Xxxxxx xxxx xx xxxx xxxx xxx applicant xxxxx be xxxxxxx xx return xxx xxxxxxxxx xxxxxx xxxxxxxx xx xxxxxxxxxxxx xxx xxxx (from xxx xxxxxxxx, xxxxxxxx etc.) xx xxx xxxxxxx xx the Xxxxxxxx xx Xxxxxxx xx xx the amount xx xxx support xxxxxxxx. This xxxxxxxxxx xxxx xxx xxxxx xx xx/xxx xxx xxx received xxx xxxxxxxxxxxx. If so xxxxxxxxx by the xxxxxx xx xx xxxxxxxxxxx, xxx Ministry xx Justice xxx xxxxx xxx state's xxxxx xx claim xxx xxxxxx of xxx xxxxxxxxx xxxxxxx xxxxxxxx after the xxxxx xx the xxxx-xxxx xxxx, xxxxxxxx xxxx a xxxxxx xx xxxxxxxxx by xxx xxxxxx'x social xxxxxxxx, xxx xxxxx xxxxxx of xxx xxxx suffered xxx xxx amount of xxxxxxxxxxxx xxxx xx xxx victim.

Xxxxxx xxx/xxxx/xxxxxx

Xxxxxxxxxxxxxxx xx, xx x xxxxxxxx, v ktorej xx nachádzate, xxx xxxxxx Vás xxxxxxxxx xxxxxxxxxxxx otázkami. X xxxxxx xxxxxxxx xxxxxxxxx Xxxxx žiadosti o xxxxxxxxxxx xxxxxxxx xxxxxx xxxxxxx trestnej xxxxxxxx xxxľx xxxxxx č. 209/1997 Zb., xx však vyplnenie xxxxx dotazníku xxxxxxxxxx. Xxxxxxxx Xxx xx xxxxxxxxxx, ktorú xx xxxxx xxxxxx.

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

1. Xxxxxxxxxx:

2. Xxxx:

3. Dátum narodenia:

4. Xxxxxx xxxxxxxx xxxxxx:

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

6. Xxxxxxx:

7. X-Xxxx:

8. Xxxxxxxxxx:

XX. Ak xxxxxxxľx xxxxxxxxx iná xxxxx (xxxxxxxx) xx xxxxxxx xxxxxxxxx zastúpenia (xxxx. maloleté dieťa xxxxxx rodičom) alebo xx základe xxxxxx x xxxxx xxxx, xxxxxxx xxxxx x xxxxxxxxxx:

1. Xxxxxxxxxx:

2. Xxxx:

3. Xxxxxxxxxxxxxx adresa:

Ak xxxxxxx xx inú xxxxx, xxxx sa xxxxxxx xxxxxxxxxx, xxxxx xxxxxxxxxx xxxxxxx. Xxxxx x xxxxxxxx xxxxxxxx xxxxx xxxxx xxxx (pri xxxxxxxx zastúpení) xxxxx xxxxx rodného xxxxx (x xxxxxxx xxxxxxxxx xxxxxxxxxx) xxxxx xxx xxxxxxx xxxxxxx.

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

1. Xxxxxxxxxx:

2. Xxxx:

3. Xxxxx xxxxxxxxx:

4. Dátum xxxxxx:

5. Posledné xxxxxxxx:

7. Xxxxxxxxxx:

8. X akom xxxxxx xxxx xxxxxxx xxxxx x xôxxxxxx xxxxxxxxx xxxx k xxxxx žiadateľa (xxxx, xxxxx, osoba xxxxxx x xxxxxxxxx domácnosti):

Ak xx xxxxxxxľ xxxxxx xxxxxxxxxx po osobe, xxxxx v xôxxxxxx xxxxxxxxx xxxx zomrela, x žiadosti xx xxxx priložiť kópia xxxxxxxx xxxxx a xxxxxxx, xxxxx dokladajú xxxxxxxxxx, že xxxxxx xxxxx vyživovala pozostalú xxxxx xxxxx xxxx xxxxxxxxx xx xxxxxxxxx (xx vzťahu rodič - xxxxx pôjde x rodný xxxx xxxxx rozhodnutie xxxx x xxxxxxxxxxx povinnosti, xxx xxxxxxxx takou xxxxxxxx bude sobášny xxxx x pod.)

IV. Xxxxxx, xx žiadate xxxxxxxx xxxxxxx xxxxx xxxxxxxxxxxxxxx pošty alebo xxxxxxxx xx xxxxxxx xxxx; x xxxxx xxxxxxx xxxxxxx oznámte xxxxx Xxxxx xxxx.

X. Xxxxxx xxxxx, xxxx xx xxxx xxxxxxxxx x xxxxx spôsobenej xxxxxxxx činom.

Uveďte xxxxx xxxxxxxxx xxxxxxxxx xxxx x xx xx xxxx o xxxxx xxx xxôxxxxxxx xxxxxxxxx xx neskôr, xxxxxx xxxx a xxx (xxxxxxxxx z lekárskej xxxxxx - xxxxx xxx xxxxxxxxxx).

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

Xx xxxx k xxxxxxxxxx xxxxxxxx rozhodnutie xxxxxx xxxxxxx x xxxxxxxx xxxxxx, xxxxx xxxx xxxxxxxxx x xxx, v akom xxxxxx xx xxx xxxxxxxx (xxxx. uznesenie x xxxxxxxx xxxxxxxxx xxxxxxxx, opis xxxxxxxx, xxxxxxxx - i xxxxxxxxxxxxx), xxxxxxxx xx x žiadosti.

VII. Xxxxxx, xxxx xxôxxxxx ste xxxxxxxxx xxxxx xx xxxxxxx xxxxx xx xxxxxxxľx alebo inej xxxxx, xxxxx xxxxxxxxx xx xxxxx.

Xxxľx xxxxxxxxxxx §8 xxxxxx x. 209/1997 (Xx)., xxxxxxxx xxxxx xx xôxx xxxxxx xxxxx sa xxxxxxxx x prihliadnutím xx xx, xx xxxx využila všetky xxxxxxx xxxxxxxxxxx xx xxxxxxxxxx xxxxxx xx xxxxxxx škody od xxxxxxxľx alebo inej xxxxx, xxxxx xxxxxxxxx xx škodu. Xxxxx xxx xxxxxxxxxxx, xx xxxxxxxľx trestného činu xxxxxxxxx.

Xxx VIII. Xxxxxxx, xx žiadateľ je xxxxxxxxxx xx xxxxx, xxxxx x xôxxxxxx xxxxxxxxx xxxx xxxxxxx.

XXXX. Xxxxxx, či ste xxxxxxx osobou, xxxxx xxľxx xxxxxxxxx xxxxxxx x §2 odst. 2 zákona x. 209/1997 Zb., xxxxxxxx xxľxx xxôx xxľxx xxxxx xxxxxxxxx, xx xx Vám xxxxx xxxxxxxxxxx známe.

1. Xxxx xxx rodičom, xxxxxxxx xxxxx xxxxxxxx xxxxx, xxxxx xxxxxxx v xôxxxxxx xxxxxxxxx xxxx?

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

3. Xxxxxxxxxxx Xxx xxxx xxxxxxxxx xxxx xxxxxx, či bola x xxxx xxxxxxx?

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

Xxxľx xxxxxxxxxxx §2 xxxx. 2 zákona č. 209/1997 Zb. xx xx xxxx považuje xxxxx xxxxxxxxx xx xxxxx, ktorá x xôxxxxxx xxxxxxxxx xxxx xxxxxxx, xx xx xxxxxxx, xxxxxxxx xxxxx xxxxxxxx xxxxxxxxx x xxxxxxx v čase xxxx xxxxx s xxx xxxx x xxxxxxxxxx xxxxx xxxxx, xxxxxx xxxxxx poskytoval xxxxx xxx povinný xxxxxxxxxx výživu.

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Body XX. xx XIV. Xxxxxxx, xx xx xxxxxxxľ xxxx obeťou trestného xxxx a xxxx xx xxôxxxxxx xxxx xx zdraví.

IX. Xxxxxx xxxxx, xxxx sa xxxxxxxx xxxxxxxx, respektíve xxxx sa xxxxxxxx xxxxxxxx xxxxxxxxxxx.

X. Xxxxxxx xxxxx xxxxxxxx ohodnotenia xx xxxxxx činí:

K xxxxxxxx xx musí xxxxxxxx xxxxxx xxxxxxxxxxx xx xxxxxx podľa xxxxxxxx č. 440/2001 Zb., ktoré xxxxxxxľ získa od xxxxxx, ktorý xx xxxxxxxxx. Tento xxxxxxxx xxxxxxx xxxx xxxxxxxxx xxxxxx xxxxxxxxxx vytrpenej xxxxxxx x xxxxxx xxxxxxxxxx sťaženia xxxxxxxxxxxxx xxxxxxxxxx. Xxxxxxxxxxx, xx xxx účely xxxxxx č. 209/1997 Zb. xx relevantné xxx xxxxxx xxxxxxxxxxx xxxxxxxxx bolesti. Xxxľx xxxxxxxxxxx §6 odst. 2 xxxxxx x. 209/1997 Xx. xxxxxxx xxxxxxxxx' xxxxxxx xxxxx, xx xxxxxx xxxxxxxxxxx xxxxxxxxx bolesti xxxxxxxxxx xxxxxxxx 100 xxxxx.

XX. Xxxxxx, či xxxxxxx x xxxxxxxxxxx peňažnej xxxxxx xx výške xxxxxxxxx xxxxxxx 25 000.- Xx alebo či xxxxxxxx výšku xxxxxx xxxxxxx a xxxxxxxx xx liečenie.

Podľa xxxxxxxxxxx §7 xxxx. 1 xxxx. a) zákona x. 209/1997 Zb. xx xxxxxxx xxxxx xxxxx xxxxxxxxx xxxxxxx xxxxx xx výške xxxxxxxxx xxxx 25&xxxx;000.- Xx, xxxxx xx xxxxx zodpovedajúcej xxxxxxxxxxx xxxxxxxx xx xxxxxxxx x ušlému xxxxxxx. Xx xx xxxxxxxxxx xxxxxx x peňažnú xxxxx xx výške xxxxxxxxx čiastky, nemusíte xx xxxxxxxxx xxxx XXX. - XXX. xxxxx xxxxxxxxx.

XXX. Xxxxxxx xxxxxxx s xxxxxxxx xxxxxx:

Xxx o xxxxxxx xx lieky, xxxxxxxxxxxx xxxôxxx, xxxxxxx na xxxxxxxxxxxxx, xxxxxxxxx xxxxxx xxxxx xx xxxxx x domácnosti xx xxxxxxxxxx, xxxxxxx náklady xx dopravu, x xxx. xxx podmienkou, xx xxxxx náklady xxxxxxxxx xxxxxxxxx. Xx xxxxxxx xxxxxxx xx xxxxx xxxxxxx, xxxx xx ne xxxxxxxxxxxx xxxxxxxxxxxxxx nebude xxxx xxxx xxxxxľ.

XXXX. Xxxxxxx xxxxxxxxx xxxxxx xxxxxxxľx xxxx a xx xxxxxx ujmy na xxxxxx xxôxxxxxxx trestným xxxxx.

X žiadosti xxxxxxxx xxxxxxx, xxxxx potvrdzujú xxxxxxx xxxxxxxxxxx.

X xxxxxxx, xx žiadateľ xx x xxxxxxxxxxxxxx pomere, xôxxx x xxxxxxxxxx xxxxxxxxxxxxľx o xxxxxxxxxx xxxxxxx xxxľx §351 x nasl. zákona x. 262/2006 Zb., xxxxxxxx práce, v xxxxx xxxxxxxxxx predpisov. Xx je xxxxxxxľ xxxxxx samostatne xxxxxxxxx xxxxxx, xxxxx listinou xxxx napríklad xxxx xxxxxxxxxx xxxxxxxx priznania. Xx žiadateľ xxxxxx xxxxxxxx dôchodok, xxxxxxxx, xxxxx xôxx xxxxxxx xxxxxxxx xxxxxxxx xxxxxxxx, xxxx potvrdenie o xxxxx xxxxxxxxxx xôxxxxxx. X xxxxxxx, xx x xxxxxxxx závažného xôxxxx xxxxxxx doložiť xxxxxxxxx pomery xxxxxxxľx, x xxxxxxx xxxxxxx xx xxxxx xxxxxxxx xxxxxxxxxx o xxxx xxxxxxx vyhlásením.

XIV. Xxxxxx xxxxx nemocenských xxxxx (xxxxxxxxxxx xôxxxxxx) x xxxx, xxxxxx xxx xxxxxxxľ poberá, xx xxxxxxx po xxxxxx xxxx na xxxxxx, xxôxxxxxxx trestným xxxxx.

X xxxxxxxx xxxxxxxx potvrdenie xxxxxxxxxxxxľx xxxxx xxxxxxxxx x xxxxx xxxxxxxxxxxx xxxxx. V xxxxxxx, xx x xôxxxxxx xxxxx xx xxxxxx xxôxxxxxxx xxxxxxxx činom Xxx priznali xxxxxxxxx xôxxxxxx, uveďte x xxxxxxx xxxx xxxxx.

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

Xxxxxx xxxxxxxxxx, xx xxxxx xx xxxxxxx xxxxx xx obdobný xxxxx xx xxxxxxxxxxx xxxx xxôxxxxxxx trestným xxxxx xxx xxxxxxxxxx(x) x xxxxxxx xxxx xxxxx xxx x Xxxxxx (Slovenskej) xxxxxxxxx.

Xxxxxx xx xxxxxxx, xx xx podľa xxx. §12 xxxxxx x. 209/1997 Xx., o xxxxxxxxxx peňažnej pomoci xxxxxxx trestnej činnosti x x xxxxx x x doplnení xxxxxxxxxx zákonov, v xxxxx xxxxxxxxxx predpisov, xxxxxx xxxxxxxxx xx xxxxxxx rokov xxx xxx, xxx xx xxxxxxxx xxxxx, odviesť xx xxxx Xxxxxxxxxxxx xxxxxxxxxxxxxx čiastky, xxxxx xxx xxxxxx(x) ako xxxxxxx xxxxx, x xx xx do xxxxx xxxxxxxxxxx xxxxxx. Xxxxxxx s tým xxxxxx xx xxxxxxx, xx xx xxxxxxxx xxxxxxxxxx xäxxxxxxx xxxx xôxxx xxxxxxxx Xxxxxxxxxxxx xxxxxxxxxxxxxx, xxx sa x xxxx štátu xxxxxx práva xx xxxxxxxx xxxxxxxxxxx xxxxxx, xx xxxx sociálna xxxxxxxx xxxx xxxx xxxxxx xxôxxxxxxxx, celková xxxxx xxxxx, xxxxx xx xxôxxxxxx x xxxxx xxxxxxx, xxxxx xxx xxxxxx(x).

Xxxxxx xxxx xx xxxxxxx, že xxxxxxxxx xxxxxxxx nesprávneho xxxxx xxxxxxxxx údaja xx xxxx xxxxxxxxx xx xxxxxx xxxxxxxx xxxxxxxxxxxx xxxxxx, xx xôxxx xxxxxxxx xxxxxxxxxx xxxľx §21 xxxx. 1 písm. c) xxxxxx x. 200/1990 Xx., x xxxxxxxxxxxx, x znení xxxxxxxxxx xxxxxxxxx.

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xxxxxx žiadateľa xxxxx xxxxxxxx

- Ministerstvo xxxxxxxxxxxxxx Xxxxx xxxxxxxxx po xxxxxxx xxxxxxxx x xxxxxxxxxxx xxxxxxxx xxxxxx xxxľx zákona č. 209/1997 Zb. xxxxxxx jej príjem x udelí xxxxxxxx xxxxx. Potom xxxx xxxxxxxxxx xx xxxxxxx xx na xxxx xxxxxxxx xxxxxx xxxľx xxxxxxxxxxx okolností xxxxxxx. Xx xxxxx mesiacov xx xxxxxx xxxxxxxx x predložení potrebných xxxxxxxx xxx pomoc xxxxxxxx alebo xxxxxxxľxxx xxxxxx dôvody, xxxxx xxxxx nemožno poskynúť.

- X xxxxxx zákona č. 209/1997 Zb. bude xxxxxxxľ xxxxxxxxxx xx xxxx xxx v xxxxxxx, xx mu x xôxxxxxx xxxxxxxxx xxxx xxxx xxôxxxxxx xxxxxxxxxx xxxxxxx. Nevyhnutnou, xxx xxxx xxxxxxxxxxxx xxxxxxxxxx xx priznanie peňažnej xxxxxx xxxxx xxxxx xx výška xxxxxxxx xxxxxxxxxxx xxxxxxx (xxx xxxx sťaženie xxxxxxxxxxxxx xxxxxxxxxx) dosahujúceho xxxxx 100 xxxxx. Xx xxxx sa xxxxxxxx xx osoba xxxxxxxxx xx xxxxx, xxxxx x dôsledku xxxxxxxxx xxxx zomrela, ak xxxx xxxxxxx, manželom xxxxx xxxxxxxx zomretého x xxxxxxx x xxxx xxxx xxxxx x xxx žila x xxxxxxxxxx, alebo xxxxx, ktorej xxxxxxx xxxxxxxxxx xxxxx xxx xxxxxxx xxxxxxxxxx výživu.

- Xxxxx č. 209/1997 Zb. x xxxxxxxxxx xxxxxxxxx xxxxxx xxxxxxx xxxxxxxx xxxxxxxx xxxxxxxxx prekluzívnu (xxxxxxxx) xxxx 1 xxxx xxx dňa, keď xx xxxx dozvedela x xxxxx spôsobenej xxxxxxxx činom. Ak xxxxx xxxx xx xxx xx xxx xxxxxxxxx xxxxxxxxx xxxx, xxxx dokazuje xxxxxxx, xxxx xx to xxxxx. Ministerstvo xxxxxxxxxxxxxx xxxôxx xxxxxxxx xxxxxxxxxx x xxxxxxxxxxx xxxxxxxx xxxxxx, xxxxx mu xxxxxxxx xx xxxxxxxx xxxxxxxxxx xxxxxx.

- Pomoc xx xx xxxxxxx xxxxx, xxxxxx x xôxxxxxx xxxxxxxxx xxxx xxxxxxx xxxxx xx xxxxxx, xxxxxxxx x xxxxxxxxx xxxx 25&xxxx;000.- Xx xxxxx xx xxxxx, ktorá predstavuje xxxxxxxxxx xxxxxx xx xxxxxxx, xxxxxxxxxx xxxxxxx xxxxxxx x xxxxxxxx, xxxxxxx x súčet xxxxxxxx čiastok, xxxxx xxxx x xxxxxx xxxxxxx xxxxx už xxxxxxx; pomoc xx xxxxxx xxxxx xxxxxx xxxxxxxxxx sumu 150 000.- Xx. Ak xxxx - xx xxx, xxx xxx xxxxxxxx xxxxx - xxxxxxxx, xx xxx vzniknutá xxxxx xx vyššia xxx xx, xxxxx xxxx xxxxxxxxx na xxxxxxxxxxx pomoci, xx xxx xxxxxxx v xxxxxx xxxxxxxxxx týmto xxxxxxx jej xxxxx xxxxxxxxx xxxxx xxäx, x xx až xx xxxxxxxxxx xxxxx 150&xxxx;000.- Kč; xxxxxx xx xxxxxxxxxx xx xxxxxxx, xxxxx xx xxxx vyplatené.

- Xxxxxxxx xxxxx, xxxxx xx xxxxxxxxxx xx xxxxx, xxxxx v dôsledku xxxxxxxxx xxxx xxxxxxx (xx bola xxxxxxx, xxxxxxxx alebo dieťaťom xxxxxxxxx x xxxxxxx x xxxx jeho xxxxx s xxx xxxx x xxxxxxxxxx, xxxxx jej zomretý xxxxxxxxxx, xx xxx xxxxxxx xxxxxxxxxx xxxxxx), xx xxxxxxxx xxxxxxx xxxxx x paušálnej xxxx 150&xxxx;000.- Xx; xxxxx xx svojom xxxxx xxxxxx xxxxxxxxxx xxxx 450 000.- Xx, x xx je xxxxx xxxxx xxxx xxx xxx xxxxx, xxxxxxxxxxx xxxxxxx xx xxx každej obeti xxxxxxxxx xxxxx.

- Xxxxx č. 209/1997 Zb. xxxxxxxxxxxx inštitút xxxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxxxľx xxxxxxxxxx xxxxxxxx, xx xxxxx nadväzuje xxxxxxx xxxxxxx poistenie zodpovednosti. Xxxxx xx xxxxxxxx x xxxxxxxxxxxxxx xxxxxxxxxx xxxôx xxxxxx subjekt, xxxxx xxxxxxxx xxxxxxxxx xxxxxxxxxxxxx, x poskytnutie xxxxxxxxx plnenia. Xxx x celkom xxxxxxxxxxx xxxxxxxxx x prihliadnutím xx xxxxxxxxx výnimočné xxxxxxxxx xx xxxxx xxxxxx xxxxxxxxxxxx spravodlivosti x poskytnutie xxxxxxxx xxxxxx.

- Pripomíname, xx xx xxxxxxxxxx priložiť xxxxxx dostupné xxxxxxx x potvrdenia, xx xxxxx odkazujeme pri xxxxxxxxxxxx xxxxxxxxx. Xx xxx žiadateľ neučiní, xxxxxxxxxxxx xxxxxxxxxxxxxx xxxôxx xxxxxxx xxxxxxx. Ak xxxxxx xxxxxxxxxx x xxxxxxx ani xxxxxxxxx xxxxxx, táto xxxxxxxxxx xôxx xxx xôxxxxx xxxxxxxxxxxxx xxxxxxxx xxxxxx xxxľx xxxxxx č. 209/1997 Zb. Xx však xxxxxxxxxx xxxxxxx podať xxxx xxxxxxx.

- Xxxxxxxxxxxx, že xx bude xxxxxxxľxxx xxxxxxxxxx xxxxxxx xxxxx, xxxxxxxľ je xx xxxxxxx rokov xxx xxx poskytnutia xxxxxx xxxxxxx na xxxx xxxxxxxxxxxx xxxxxxxxxxxxxx xxxx, xxxxx dostal xxx xxxxxxx škody (xx xxxxxxxľx, xxxxxxxxx x xxx.) xx xx xxxxx xxxxxxxxxxx xxxxxx. Xxxx povinnosť xxxx, xx xx xxxxx xxxxxxxxxx. Na xxxxxxx xxxxxxxx obete xx xxxxxxxxxxxx xxxxxxxxxxxxxx xôxx x xxxx xxxxx xx xxxxxxxx xxxxxxxxxx xäxxxxxxx xxxx xxxxx xxxxx na xxxxxxxx xxxxxxxxxxx xxxxxxxx xxxxxx. Xx takýto xxxxxx xxôxxxxxxx xxxxxxxx xxxxxxxx xxxxx, celková xxxxx xxxxx, ktorú xxx xxôxxxxxx, a xxxxx xxxxxxx, xxxxx xxxx xxxxxxx.