DOCUMENTS REQUIRED TO OBTAIN COMPENSATION

To obtain deposit compensation, the client must present a document entitling the client to collect the deposit at a branch of the payout bank:

Natural person = citizen – valid proof of identity (an ID card, passport, Permanent Residence Permit).
Natural person = entrepreneur (self-employed person) – a valid identity document (an ID card, passport, Permanent Residence Permit) and an extract from the Trade Register.
Legal person (company, civic association, etc.) – othe original, an officially certified copy, or an electronically signed valid extract from the Commercial Register or from another public register not older than 3 months, and proof of identity for the individual acting on behalf of the legal person (an ID card, passport, Permanent Residence Permit). In the case of amounts exceeding the equivalent of EUR 15 000, other documents may also be required to verify the identity of the beneficial owner.
In the case of an heir or legal successor from another title, a document (the original or an officially certified copy) proving acquisition of the claim in question will be required.

You can download the complete list of documents in pdf format or in docx format.

Forms for download

The forms below can be downloaded in various formats.

You can fill in the file in docx format on your computer, print it out and sign it by hand.

The file in html format is intended for viewing only; alternatively, you can print it out and fill it in by hand. The files in html format are available in Czech language only.

The files in pdf format are designed for download or printing.

Name of form	Purpose of form	Form for download as a docx file	Form for download - other file types
Power of attorney	If the depositor cannot collect his/her deposit compensation in person, he/she may authorize another person to collect it on his/her behalf based on an officially certified power of attorney. The power of attorney form will also be available at branches of the payout bank. Filled document template can be found here (in CZ only).	Power of attorney (docx)	Power of attorney (html)
Application for increased compensation	To claim a payout of increased compensation for deposits, it is necessary to complete this form and send it to the address of the Guarantee System (Contacts). More detailed information on the payout of increased compensation can be found here: Increased compensation. The applicant will be informed in writing about whether his/her application has been approved or not.	Application for increased compensation (docx)	Application for increased compensation(html)
Complaint form	If a client believes he/she has not been awarded the right amount of compensation, he/she may use the complaint procedure. You can use this complaint form which, once completed, you can send to the postal or e-mail address of the Guarantee System (Contacts)	Complaint form (docx)	Complaint form (html)
Compensation transfer request for natural person	If a client requires payment of the compensation via bank transfer by correspondence, a written instruction with an officially certified signature has to be sent to the payout bank´s address: Komerční banka, a.s., CKB department 2192, Václavské náměstí 42, Prague 1, postcode 114 07 Filled document template can be found here.	Compensation transfer request for NP (docx)	Compensation transfer request for NP (pfd)
Compensation transfer request for legal person	If a client requires payment of the compensation via bank transfer by correspondence, a written instruction with an officially certified signature has to be sent to the payout bank´s address: Komerční banka, a.s., CKB department 2192, Václavské náměstí 42, Prague 1, postcode 114 07	Compensation transfer request for LP (docx)	Compensation transfer request for LP (pfd)