District No.

............ Applicant

of ............

............ Injured Party ............ of ................

WHEREAS ON CONVICTION of the above-named applicant (hereinafter referred to as the "convicted person") on the .... day of ............ 19.... of an offence,

THE COURT MADE A COMPENSATION ORDER under section 6 (1) of the above-mentioned Act ordering the convicted person 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.... ,)

NOW THE COURT, on the application of the convicted person for an order under section 6 (8) (a) of the said Act, of 1993,

being satisfied that notice of the application was duly served upon the injured party, having heard the evidence given herein,

*(having regard to the representations made by or on behalf of the injured party), and it appearing that, because of a substantial reduction in the means of the convicted person, his/her means are insufficient to satisfy that order in full,

HEREBY ORDERS pursuant to section 6 (8) (a) of the Act

*(that the amount of compensation remaining to be paid by the convicted person to the injured party under that compensation order be reduced from £ .... to £..... ,)

(that the instalments payable by the convicted person as compensation to the injured party under the compensation order be varied as follows:

...........,)

*(that no payments/further payments be made by the convicted person as compensation to the injured party under the compensation order.)

*(AND DIRECTS that all payments made under this order shall be made to the

District Court Clerk

District Court Office

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

for transmission to the injured party.)

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

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

Judge of the District Court

*Delete words inapplicable