Klageskjema - European Court of Human Rights

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Domstolen.
NOR - 2014/1
Klageskjema
Om dette klageskjema
Dette klageskjemaet er et formelt juridisk dokument som
kan påvirke dine rettigheter og plikter. Vennligst følg de
forklaringer som gis i Veiledning for utfylling av
klageskjemaet. Husk å fylle ut alle felter som er relevante
for din situasjon og fremlegge alle relevante dokumenter.
Strekkode-etikett
Advarsel: Hvis din klage er ufullstendig, vil den ikke bli
behandlet (se Regel 47 i Domstolens regelverk). Merk særlig
at Regel 47 § 2 (a) fastslår at:
"Alle de opplysninger som det henvises til i paragraf 1 (d) til
(f) [redegjørelse for sakens omstendigheter, påståtte
krenkelser og opplysninger om oppfyllelse av vilkårene for
realitetsbehandling], må redegjøres for i dette avsnittet slik
at Domstolen kan klarlegge innholdet og rekkevidden av
klagen uten å se hen til annet materiale.»
Saksnummer
Hvis du allerede har mottatt et sett etiketter med strekkode fra
Den europeiske menneskerettighetsdomstol, vennligst fest en av
etikettene i feltet nedenfor.
Hvis du allerede har mottatt et referansenummer fra Domstolen i
forbindelse med disse klager, angi det vennligst i feltet nedenfor.
A. Klageren (privatperson)
B. Klageren (organisasjon)
Dette avsnitt vedrører bare klagere som er privatpersoner.
Hvis klageren er en organisasjon, vennligst gå til Avsnitt B.
Dette avsnitt skal bare utfylles, hvis klageren er et selskap, en ikkestatlig organisasjon, en forening eller en annen juridisk enhet.
1. Etternavn
9. Navn
2. Fornavn
10. Eventuelt identifiseringsnummer.
3. Fødselsdato
f.eks. 27/09/2012
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M
M
Å
Å
4. Statsborgerskap
Å
11. Registrerings- eller grunnleggelse dato (hvis den finnes)
Å
f.eks. 27/09/2012
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D
M
M
Å
Å
12. Virksomhet
5. Adresse
13. Registreringsadresse
6. Telefon (med landkode)
7. Eventuell e-post
14. Telefon (med landkode)
8. Kjønn
mann
kvinne
15. E-post
Å
Å
Den europeiske menneskerettighetsdomstol - Klageskjema
2/11
C. Klagerens representant(er)
Hvis klageren ikke er representert, gå til Avsnitt
D.
Ikke advokat/offisiell organisasjon
Advokat
Vennligst fyll ut denne delen av skjemaet, hvis du representerer
en klager, men ikke er advokat.
Vennligst fyll ut denne delen av skjemaet, hvis du representerer
klageren som advokat.
Forklar i feltet nedenfor i hvilken egenskap du representerer
klageren eller angi ditt forhold til klageren eller din offisielle
funksjon hvis du representerer en organisasjon.
24. Etternavn
16. Egenskap / forhold / funksjon
25. Fornavn
17. Etternavn
26. Statsborgerskap
18. Fornavn
27. Adresse
19. Statsborgerskap
20. Adresse
28. Telefon (med landkode)
29. Fax
21. Telefon (med landkode)
30. E-postadresse
22. Fax
23. E-postadresse
Fullmakt
Klageren må gi myndighet til hver representant til å handle på hans eller hennes vegne ved å underskrive fullmakten nedenfor
(se Veiledning for utfylling av klageskjemaet).
Jeg gir herved den nevnte personen fullmakt til å representere meg under saksbehandlingen for Den europeiske
menneskerettighetsdomstol om den klagen jeg har bragt inn i henhold til artikkel 34 i konvensjonen.
31. Klagers underskrift
32. Dato
f.eks. 27/09/2012
D
D
M
M
Å
Å
Å
Å
Den europeiske menneskerettighetsdomstol - Klageskjema
3/11
D. Stat(er) klagen er rettet mot
33. Sett kryss ved navnet på den eller de stater, klagen er rettet mot
ALB - Albania
ITA - Italia
AND - Andorra
LIE - Liechtenstein
ARM - Armenia
LTU - Litauen
AUT - Østerrike
LUX - Luxembourg
AZE - Aserbajdsjan
LVA - Latvia
BEL - Belgia
MCO - Monaco
BGR - Bulgaria
MDA - Moldova
BIH - Bosnia-Hercegovina
MKD - “Den tidligere jugoslaviske republikk Makedonia”
CHE - Sveits
MLT - Malta
CYP - Kypros
MNE - Montenegro
CZE - Tsjekkia
NLD - Nederland
DEU - Tyskland
NOR - Norge
DNK - Danmark
POL - Polen
ESP - Spania
PRT - Portugal
EST - Estland
ROU - Romania
FIN - Finland
RUS - Russland
FRA - Frankrike
SMR - San Marino
GBR - Storbritannia
SRB - Serbia
GEO - Georgia
SVK - Slovakia
GRC - Hellas
SVN - Slovenia
HRV - Kroatia
SWE - Sverige
HUN - Ungarn
TUR - Tyrkia
IRL - Irland
UKR - Ukrainia
ISL - Island
Den europeiske menneskerettighetsdomstol - Klageskjema
4/11
Klagens innhold
All informasjon om sakens faktiske omstendigheter, om klageren og om oppfyllelse av kravene om uttømmelse av interne
rettsmidler og av seksmånedersfristen beskrevet i Artikkel 35 § 1 i konvensjonen må redegjøres for i denne del av klageskjemaet
(avsnitt E., F. og G.) (Regel 47 § 2 (a)). Klageren kan tilføye detaljerte anførsler i klageskjemaet. Den slags supplerende innlegg må
ikke overskride 20 sider (Regel 47 § 2 (b)); denne begrensningen av antall sider omfatter ikke kopier av vedlegg og avgjørelser.
E. Redegjørelse for sakens faktiske omstendigheter
34.
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Når du fyller inn denne delen, bes du sørge for at opplysningene ikke overskrider feltets størrelse. Ønsker du å sende inn
supplerende opplysninger, vennligst følg instruksjonene i «Veiledning for å fylle ut klageskjemaet».
Den europeiske menneskerettighetsdomstol - Klageskjema
5/11
Redegjørelse for sakens faktiske omstendigheter (fortsettelse)
35.
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Når du fyller inn denne delen, bes du sørge for at opplysningene ikke overskrider feltets størrelse. Ønsker du å sende inn
supplerende opplysninger, vennligst følg instruksjonene i «Veiledning for å fylle ut klageskjemaet».
Den europeiske menneskerettighetsdomstol - Klageskjema
6/11
Redegjørelse for sakens faktiske omstendigheter (fortsettelse)
36.
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Når du fyller inn denne delen, bes du sørge for at opplysningene ikke overskrider feltets størrelse. Ønsker du å sende inn
supplerende opplysninger, vennligst følg instruksjonene i «Veiledning for å fylle ut klageskjemaet».
Den europeiske menneskerettighetsdomstol - Klageskjema
F.
7/11
Angi hvilke krenkelser av konvensjonen og/eller protokollene du påberoper deg, samt anførsler.
37. Påberopt artikkel
Forklaring
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Den europeiske menneskerettighetsdomstol - Klageskjema
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G. Bekreft vennligst for hver klage at du har uttømt tilgjengelige nasjonale rettsmidler, inklusive anker, og
angi hvilken dato da den siste og endelige avgjørelsen ble fattet og mottatt, for å vise at du har overholdt
seksmånedersfristen.
38. Klage
Angi de rettsmidler du har brukt og datoen for den endelige avgjørelsen
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Den europeiske menneskerettighetsdomstol - Klageskjema
39. Foreligger/forelå det noe rettsmiddel som du ikke har benyttet?
9/11
Ja
Nei
40. Hvis du svarte ja ovenfor, vennligst opplys om hvilket rettsmiddel du kunne ha benyttet og angi grunnen til at du ikke gjorde det.
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H. Opplysninger om eventuelle annen internasjonal saksbehandling.
41. Har du innbragt noen av disse klagene for et annet internasjonalt tilsynsorgan?
Ja
Nei
42. Hvis du svarte ja ovenfor, vennligst gi en nøyaktig redegjørelse for behandlingen av saken (innbragte klager, navn på den
internasjonale instansen samt dato og innhold av hver avgjørelse som er blitt truffet).
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43. Har du (som klageren) eller har du hatt andre klager til behandling for Domstolen?
Ja
Nei
44. Hvis du svarte ja ovenfor, vennligst oppgi klagenummeret i feltet nedenfor.
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Den europeiske menneskerettighetsdomstol - Klageskjema
10/11
I. Liste over vedlagte dokumenter
Du bør vedlegge fullstendige og leselige kopier av alle dokumenter.
Ingen dokumenter vil bli sent tilbake til deg. Det er derfor viktig at du sender inn kopier, ikke originaler.
Du MÅ:
- sortere dokumentene etter dato og saksbehandling;
- nummerere sidene fortløpende;
- IKKE stifte, binde eller klistre sammen dokumentene.
45. Vennligst gi en fortegnelse over dokumentene i kronologisk rekkefølge og med en kortfattet beskrivelse i feltet nedenfor.
1.
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Den europeiske menneskerettighetsdomstol - Klageskjema
11/11
Andre bemerkninger
Har du andre bemerkninger til din klage?
46. Bemerkninger
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Erklæring og underskrift
Jeg erklærer herved at de opplysninger jeg har gitt i dette klageskjema etter min beste overbevisning er korrekte.
47. Dato
f.eks. 27/09/2012
D
D
M
M
Å
Å
Å
Å
Klageren(ne) eller klagers representant(er) skal underskrive i nedenstående felt.
48. Underskrift(er)
Klageren(ne)
Representant (er) – sett kryss
Bekreftelse av korrespondent
Hvis det er flere enn én klager eller flere enn én representant, så angi vennligst navn og adresse på den personen som Domstolen
skal skrive til.
49. Navn og adresse på
Klageren(ne)
Representant (er) – sett kryss
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Det utfylte klageskjemaet må underskrives
og sendes med post til:
The Registrar
European Court of Human Rights
Council of Europe
67075 STRASBOURG CEDEX
FRANCE