P-9.2.1, r. 1 - Regulation respecting the application of the Act to assist persons who are victims of criminal offences and to facilitate their recovery

Section 9 Disposition versions

2022-11-01

9. A qualification application may contain, in particular, the following information and, where applicable, be accompanied by the following documents:

(1)  the name, contact information, social insurance number and health insurance number of the applicant, if such numbers have been assigned;

(2)  if the criminal offence was not committed against the applicant, the name of the person who was the victim and who suffered interference with their integrity, and the victim’s connection with the applicant;

(3)  in the case of a child who is a victim under 14 years of age or 14 years of age or over who does not file an application alone, the name and contact information of the parent, person having parental authority, tutor, director of youth protection having responsibility, or other person of full age who filed the application for the child;

(4)  in the case of an incapable person, the name and contact information of the tutor or other person of full age who filed the application for the incapable person;

(5)  the date and time or period and place of the commission of the criminal offence, and a description of the circumstances;

(6)  the names and addresses of witnesses, if any;

(7)  where applicable, the name of the institution where the person who is a victim was hospitalized or treated, and the name and address of the health professional who provided treatment;

(8)  the nature of the interference suffered;

(9)  the health assessment required by the Act;

(10)  the police force that drew up a report on the incident and the incident number, if known;

(11)  whether an application for compensation, benefit or another monetary advantage has been filed by the applicant in connection with the commission of the criminal offence under another public plan, even outside Québec and, where applicable, the amount received and the grounds on which it was awarded;

(12)  if the criminal offence was committed outside Québec, the documents showing the person who is a victim’s Canadian citizenship or permanent resident status, registered Indian status under the Indian Act (R.S.C. 1985, c. I-5), or refugee status within the meaning of the Geneva Convention as granted in Canada by the competent authority, and the fact that they were domiciled in Québec for at least 6 months when the offence was committed, along with a list of trips and states outside Québec, with their duration, made by them in the year preceding the commission of the offence;

(13)  a declaration and a document showing the income of the person who is a victim for the 12 months preceding the start of their incapacity to carry on their employment as observed by a health professional referred to in one of subparagraphs 1 to 4 of the first paragraph of section 17;

(14)  the amount of any amount awarded or determined by agreement or compromise, received by the person who is a victim in a court action or right to such action for the same objects, same sequelae or same injuries as those targeted by the application, and a copy of the judgment, transaction or act terminating the litigation;

(15)  the amount of damages paid to the person who is a victim pursuant to section 738 of the Criminal Code (R.S.C. 1985, c. C-46);

(16)  if the application is filed after the expiry of the time prescribed for doing so, the reason for the delay;

(17)  a copy of the act of death or death certificate, where applicable.

O.C. 1266-2021, s. 9.

2021-10-13

9. A qualification application may contain, in particular, the following information and, where applicable, be accompanied by the following documents:

(1)  the name, contact information, social insurance number and health insurance number of the applicant, if such numbers have been assigned;

(2)  if the criminal offence was not committed against the applicant, the name of the person who was the victim and who suffered interference with their integrity, and the victim’s connection with the applicant;

(3)  in the case of a child who is a victim under 14 years of age or 14 years of age or over who does not file an application alone, the name and contact information of the parent, person having parental authority, tutor, director of youth protection having responsibility, or other person of full age who filed the application for the child;

(4)  in the case of an incapable person, the name and contact information of the tutor, curator, or other person of full age who filed the application for the incapable person;

(5)  the date and time or period and place of the commission of the criminal offence, and a description of the circumstances;

(6)  the names and addresses of witnesses, if any;

(7)  where applicable, the name of the institution where the person who is a victim was hospitalized or treated, and the name and address of the health professional who provided treatment;

(8)  the nature of the interference suffered;

(9)  the health assessment required by the Act;

(10)  the police force that drew up a report on the incident and the incident number, if known;

(11)  whether an application for compensation, benefit or another monetary advantage has been filed by the applicant in connection with the commission of the criminal offence under another public plan, even outside Québec and, where applicable, the amount received and the grounds on which it was awarded;

(12)  if the criminal offence was committed outside Québec, the documents showing the person who is a victim’s Canadian citizenship or permanent resident status, registered Indian status under the Indian Act (R.S.C. 1985, c. I-5), or refugee status within the meaning of the Geneva Convention as granted in Canada by the competent authority, and the fact that they were domiciled in Québec for at least 6 months when the offence was committed, along with a list of trips and states outside Québec, with their duration, made by them in the year preceding the commission of the offence;

(13)  a declaration and a document showing the income of the person who is a victim for the 12 months preceding the start of their incapacity to carry on their employment as observed by a health professional referred to in one of subparagraphs 1 to 4 of the first paragraph of section 17;

(14)  the amount of any amount awarded or determined by agreement or compromise, received by the person who is a victim in a court action or right to such action for the same objects, same sequelae or same injuries as those targeted by the application, and a copy of the judgment, transaction or act terminating the litigation;

(15)  the amount of damages paid to the person who is a victim pursuant to section 738 of the Criminal Code (R.S.C. 1985, c. C-46);

(16)  if the application is filed after the expiry of the time prescribed for doing so, the reason for the delay;

(17)  a copy of the act of death or death certificate, where applicable.

O.C. 1266-2021, s. 9.

Not in force

In force: 2021-10-13

9. A qualification application may contain, in particular, the following information and, where applicable, be accompanied by the following documents:

(1)  the name, contact information, social insurance number and health insurance number of the applicant, if such numbers have been assigned;

(2)  if the criminal offence was not committed against the applicant, the name of the person who was the victim and who suffered interference with their integrity, and the victim’s connection with the applicant;

(3)  in the case of a child who is a victim under 14 years of age or 14 years of age or over who does not file an application alone, the name and contact information of the parent, person having parental authority, tutor, director of youth protection having responsibility, or other person of full age who filed the application for the child;

(4)  in the case of an incapable person, the name and contact information of the tutor, curator, or other person of full age who filed the application for the incapable person;

(5)  the date and time or period and place of the commission of the criminal offence, and a description of the circumstances;

(6)  the names and addresses of witnesses, if any;

(7)  where applicable, the name of the institution where the person who is a victim was hospitalized or treated, and the name and address of the health professional who provided treatment;

(8)  the nature of the interference suffered;

(9)  the health assessment required by the Act;

(10)  the police force that drew up a report on the incident and the incident number, if known;

(11)  whether an application for compensation, benefit or another monetary advantage has been filed by the applicant in connection with the commission of the criminal offence under another public plan, even outside Québec and, where applicable, the amount received and the grounds on which it was awarded;

(12)  if the criminal offence was committed outside Québec, the documents showing the person who is a victim’s Canadian citizenship or permanent resident status, registered Indian status under the Indian Act (R.S.C. 1985, c. I-5), or refugee status within the meaning of the Geneva Convention as granted in Canada by the competent authority, and the fact that they were domiciled in Québec for at least 6 months when the offence was committed, along with a list of trips and states outside Québec, with their duration, made by them in the year preceding the commission of the offence;

(13)  a declaration and a document showing the income of the person who is a victim for the 12 months preceding the start of their incapacity to carry on their employment as observed by a health professional referred to in one of subparagraphs 1 to 4 of the first paragraph of section 17;

(14)  the amount of any amount awarded or determined by agreement or compromise, received by the person who is a victim in a court action or right to such action for the same objects, same sequelae or same injuries as those targeted by the application, and a copy of the judgment, transaction or act terminating the litigation;

(15)  the amount of damages paid to the person who is a victim pursuant to section 738 of the Criminal Code (R.S.C. 1985, c. C-46);

(16)  if the application is filed after the expiry of the time prescribed for doing so, the reason for the delay;

(17)  a copy of the act of death or death certificate, where applicable.

O.C. 1266-2021, s. 9.