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,

12.5.2006 | EN | Official Journal of the European Union | L 125/25 ---|---|---|--- * * * 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. ---|--- (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 * * * (1) OJ L 261, 6.8.2004, p. 15. * * * ANNEX I Text of image 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: Text of image 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 Text of image 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. * * * ANNEX II Text of image 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): Text of image 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) * * *