S.I. No. 413/1941 - Gárda Síochána (Application For Compensation) Regulations, 1941.


WHEREAS it is enacted by section 5 of the Gárda Síochána (Compensation) Act, 1941 (No. 19 of 1941), that applications to the Minister for Justice for compensation under that Act shall be made in the prescribed form and manner and shall state all such matters as are required by the said prescribed form to be stated therein :

AND WHEREAS it is enacted by section 15 of the said Gárda Síochána (Compensation) Act, 1941, that the Minister for Justice may by order make regulations prescribing any matter or thing which is in that Act referred to as prescribed or to be prescribed :

NOW, I, GERALD BOLAND, Minister for Justice, in exercise of the powers conferred on me by the joint operation of sections 5 and 15 of the Gárda Síochána (Compensation) Act, 1941 (No. 19 of 1941), and of every and any other power me in this behalf enabling, do by this Order make the following Regulations :

1. This Order may be cited as the Gárda Síochána (Application for Compensation) Regulations, 1941.

2. In these Regulations, the expression "the Act" means the Gárda Síochána (Compensation) Act, 1941 (No. 19 of 1941).

3. Applications to the Minister for compensation under the Act in respect of the death of a deceased person shall be made in the Form No. 1 in the Schedule hereto.

4. Applications to the Minister for compensation under the Act in respect of personal injuries not causing death shall be made in the Form No. 2 in the Schedule hereto.

5. Every application to the Minister for compensation under the Act shall be signed by the applicant or, if there is more than one applicant, by all the applicants and shall be sent by post in an envelope addressed to the Secretary, Department of Justice, Upper Merrion Street, Dublin.

SCHEDULE.

GÁRDA SÍOCHÁNA (COMPENSATION) ACT, 1941 .

FORM OF APPLICATION FOR COMPENSATION IN RESPECT OF THE DEATH OF A DECEASED PERSON.

1. Name and address of the applicant............................................................ .......................................................

............................................................ ............................................................ ............................................................ ..

............................................................ ............................................................ ............................................................ .....

............................................................ ............................................................ ............................................................ .....

Note.—If more than one applicant, the names and addresses of all the applicants must be stated here.

2. Is the applicant or any of the applicants under the age of twenty-one years, if so, state his or her age and the name and address of the person making this application on his or her behalf........................................

............................................................ ............................................................ ............................................................ ..

............................................................ ............................................................ ............................................................ ....

............................................................ ............................................................ ............................................................ ...

3. Name and rank of the deceased person in respect of whose death the application is made.......................

............................................................ ............................................................ ............................................................ ..

............................................................ ............................................................ ...........................................................

4. Relationship of the applicant or each of the applicants to the said deceased person................................

............................................................ ............................................................ ............................................................ ...

............................................................ ............................................................ ............................................................ ...

5. Facts relied on to show that the applicant or each of the applicants was dependent or partly dependent on the said deceased person............................................................ ..........................................

............................................................ ............................................................ .................................................

............................................................ ............................................................ .................................................

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6. Date and place of death of the said deceased person............................................................ ..................

............................................................ ............................................................ ............................................................ ....

............................................................ ............................................................ ................ .............................................

7. Particulars of the circumstances (including date and place) in which the injuries causing the death of the deceased person were inflicted............................................................ ............................................................ ..

............................................................ ............................................................ ......................................................

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8. Particulars of the injuries which caused the death of the deceased person............................................................ ............................................................ ................................................

............................................................ ............................................................ .........................................................

............................................................ ............................................................ .........................................................

9. Other facts and circumstances (if any) which the applicant desires to bring to the Minister's notice in support of the application............................................................ ............................................................ ..........................................

............................................................ ............................................................ .................................................

............................................................ ............................................................ .................................................

(Signed)............................................................ ......

............................................................ ............

............................................................ ............

Dated this............day of............................194....

Note.—This form must be signed by the applicant or, if there is more than one applicant, by all the applicants, and must be sent, when completed, by post in an envelope addressed to the Secretary, Department of Justice, Upper Merrion Street, Dublin.

Particulars which are too long to be stated on this form should be stated on a separate sheet annexed to this form.

Form No. 2.

GÁRDA SÍOCHÁNA (COMPENSATION) ACT, 1941 .

FORM OF APPLICATION FOR COMPENSATION IN RESPECT OF PERSONAL INJURIES NOT CAUSING DEATH.

1. Name of applicant............................................................ ....................................

2. Rank of applicant (if still in the Gárda Síochána)............................................................ ...................................

............................................................ ............................................................ .................................................

3. Date of retirement of applicant (if no longer in the Gárda Síochána)............................................................ ............................................................ .....................

4. Address of the applicant............................................................ .............................

5. Date on which the injuries were inflicted............................................................ .................................

............................................................ ............................................................ .................................................

6. Particulars of the injuries............................................................ ......................................................

............................................................ ............................................................ .................................................

............................................................ ............................................................ .................................................

7. The duty (if any) on which the applicant was engaged when the injuries were inflicted..........................

............................................................ ............................................................ ............................................................ 

............................................................ ............................................................ ............................................................ 

8. The place at which and the circumstances in which the injuries were inflicted.........................

............................................................ ............................................................ .............................................

............................................................ ............................................................ .............................................

9. Other facts and circumstances (if any) which the applicant desires to bring to the Minister's notice in support of the application............................................................ ............................................................ .......

............................................................ ............................................................ ..................................................

............................................................ ............................................................ ...................................................

(Signed) ............................................................ .....

Dated this............day of............................194....

Note.—This form, when completed, should be sent by post in an envelope addressed to the Secretary, Department of Justice, Upper Merrion Street, Dublin.

Particulars which are too long to be stated on this form should be stated on a separate sheet annexed to this form.

Sealed with the Official Seal of the Minister for Justice, this 15th day of September, 1941.

(Signed) G. BOLAND,

Minister for Justice.