# L_2006125EN.01002501.xml

| 12.5.2006 | EN | Official Journal of the European Union | L 125/25 |
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12.5.2006

EN

Official Journal of the European Union

L 125/25

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COMMISSION DECISION

of 19 April 2006

establishing standard forms for the transmission of applications and decisions pursuant to Council Directive 2004/80/EC relating to compensation to crime victims

(2006/337/EC)

THE COMMISSION OF THE EUROPEAN COMMUNITIES,

Having regard to the Treaty establishing the European Community,

Having regard to Council Directive 2004/80/EC of 29 April 2004 relating to compensation to crime victims (1), and in particular Article 14 thereof,

After consulting the Committee established by Article 15(1) of the Directive 2004/80/EC,

Whereas:

| (1) | Directive 2004/80/EC requires Member States to introduce a system of cooperation to facilitate access to compensation in cases where a crime is committed in a Member State other than that of the victim’s residence by 1 January 2006. |
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(1)

Directive 2004/80/EC requires Member States to introduce a system of cooperation to facilitate access to compensation in cases where a crime is committed in a Member State other than that of the victim’s residence by 1 January 2006.

| (2) | The standard forms to be used for the transmission of applications for compensation and decisions relating to applications for compensation in such cross-border situations should be established, |
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(2)

The standard forms to be used for the transmission of applications for compensation and decisions relating to applications for compensation in such cross-border situations should be established,

HAS DECIDED AS FOLLOWS:

Sole Article

1.   The standard form for the transmission of applications for compensation provided for in Article 6(2) of Directive 2004/80/EC shall be as set out in Annex I.

2.   The standard form for the transmission of decisions on applications for compensation provided for in Article 10 of Directive 2004/80/EC shall be as set out in Annex II.

Done at Brussels, 19 April 2006.

For the Commission

Franco FRATTINI

Vice-President

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(1)  
  OJ L 261, 6.8.2004, p. 15.

1

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ANNEX I

Image 1

FORM FOR THE TRANSMISSION OF AN APPLICATION FOR COMPENSATION IN CROSS-BORDER SITUATIONS

(Article 6(2) of Directive 2004/80/EC)

1. Case reference:

2. Language of the application and any supporting documentation (Article 6(3) of Directive 2004/80/EC):

3. Application transmitted by:

Details of the assisting authority (transmitting authority):

Name of the authority:

Member State:

Contact person or the department responsible for handling the matter:

Address:

Telephone (including code):

Fax:

E-mail:

4. To:

Details of the deciding authority (receiving authority):

Name of the authority:

Member State:

Address:

Telephone (including code):

Fax:

E-mail:

5. Details of the person applying for compensation:

Family name:

First Name:

Sex:

Date of birth:

Nationality:

Address and postcode:

Image 2

Place where the person habitually lives (if different from place of residence):

Telephone (including code):

Fax:

E-mail:

Bank details (For transfers, the BIC must be provided instead of the bank code, and the IBAN must be given instead of the account number):

BIC:

IBAN:

Name of bank:

Contact abroad:

If applicable, represented by:

6. Details of the injured person if that person is not the applicant:

Family name:

First Name:

Sex:

Date of birth:

Nationality:

Address and postcode:

Place where the person habitually lives (if different from place of residence):

Telephone number (including code):

Fax:

E-mail:

Done at:

Date:

By:

(signature and/or stamp)

7. List of supporting documents annexed

Image 3

ACKNOWLEDGEMENT OF RECEIPT

(Article 7 of Directive 2004/80/EC) (*)

To be sent to the assisting authority and to the applicant

The deciding authority:

Name of the authority:

Member State:

Case reference:

Contact person or the department responsible for handling the matter:

Address:

Telephone (including code):

Fax:

E-mail:

If possible, an indication of the approximate time by which a decision on the application will be made (Article 7 (c) of Directive 2004/80/EC):

This acknowledges the receipt of the application transmitted by the assisting authority:

Name of the authority:

Member State:

Case reference:

Date of receipt:

Done at:

Date:

By:

(Signature and/or stamp):

(*) The deciding authority may use a similar form or any other way of acknowledgement of receipt provided that it fulfils the obligations under Article 7 of the Directive.

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ANNEX II

Image 4

FORM FOR THE TRANSMISSION OF A DECISION ON AN APPLICATION FOR COMPENSATION IN

CROSS-BORDER SITUATIONS

(Article 10 of Directive 2004/80/EC)

1. Case reference:

2. Date of the decision:

3. Language of the decision:

4. Decision transmitted by:

Details of the deciding authority (transmitting authority):

Name of the authority:

Member State:

Contact person or the department responsible for handling the matter:

Address:

Telephone (including code):

Fax:

E-mail:

5. To:

Details of the assisting authority (receiving authority):

Name of the authority:

Member State:

Contact person or the department responsible for handling the matter:

Address:

Telephone (including code):

Fax:

E-mail:

6. And to:

Details of the applicant:

Name of the applicant:

Address:

Telephone (including code):

Fax:

E-mail:

Legal representative (if applicable):

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7. Details of the Decision:

NB: This information is provided without prejudice to the text of the decision

a) Summary:

b) Information about the possibility to appeal, competent authority and deadlines:

c) Other information or the action required by the applicant (to be completed where necessary):

Done at:

Date:

By:

(signature and/or stamp)

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