District No.

............ Applicant and Injured Party of ............

............ Convicted Person

(child/young person)

and ........... Parent/Guardian and Respondent

both of ...........

WHEREAS the above-named convicted person is a *child *young person within the meaning of the Children Acts, 1908 to 1989 and above the age of seven years, and the above-named respondent is the *parent *guardian of the said person,

AND WHEREAS on the ... day of ..... 19.., on conviction of the said person of an offence, THE COURT MADE A COMPENSATION ORDER under section 6 (1) of the Criminal Justice Act, 1993 and section 99 of the Children Act, 1908 ordering the said *parent *guardian to pay the sum of £ as compensation to the above-named injured party who suffered *personal injury *loss resulting from *(that offence) *(an offence taken into consideration in determining sentence), and directing

that the said compensation be paid *(in one payment) *(by ................... consecutive *weekly *monthly instalments of each and a final balance of , the first of such instalments to be paid on the .... day of ........ 19 ..... ,)

AND WHEREAS, because of a substantial increase in the means of the said *parent *guardian, the injured party claims that those means are sufficient for the purposes of the order sought herein,

TAKE NOTICE that the injured party will apply at the sitting of the District Court to be held at ............. on the ... day of ....... 19 at ... a.m./p.m. for an order under section 6 (8) (b) of the said Act of 1993 increasing-

*the amount to be paid

*the amount of (an) instalments) payable

*the number of instalments payable

under the said compensation order.

Dated this .... day of ...... 19...... .

Signed .........................

Applicant/Solicitor for applicant

To

of

The above-named *parent *guardian

*Delete words inapplicable