District No.

.......... Applicant

and

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

(child/young person)

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

............ Injured Party 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 applicant is the *parent *guardian of the said person, AND

WHEREAS ON CONVICTION of the said person on the ... day of ....... 19 ...... 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 instalment 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 said *parent *guardian 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 said *parent *guardian, his/her means are insufficient to satisfy that order in full,

HEREBY ORDERS pursuant to section 6 (8) (a) of the said Act of 1993 and section 99 of the said Act of 1908

*(that the amount of compensation remaining to be paid by the said *parent *guardian to the injured party under that compensation order be reduced from £ to £ ,)

*(that the instalments payable by the said *parent *guardian as compensation to the injured party under the compensation order be varied as follows:—

........)

*(that no payments/further payments be made by the said *parent *guardian 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