Ombudsman documents 3. Form 2: Decision on reimbursement of costs and rewards (form) For the cooperation of_____________________________________________________ in carrying out monitoring at ______________________, on ___________________ under the provisions of Article 11 of the Rules on the reimbursement of costs and rewards to persons from organisations that perform tasks or exercise authorities under the provisions of the Optional Protocol to the Convention against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment (MOPPM) I hereby calculate: symbolic payment EUR travelling expenses EUR kilometer rate EUR costs for food and accommodation EUR compensation of pay EUR compensation for lost earnings EUR payment for producing report on monitoring performed EUR total EUR and order payment of taxes and other public levies. At the same time, I order payment to the relevant transaction account and the transaction account of the recipient, all to be paid from the budget of user 1214 Human Rights Ombudsman RS – sub-program Optional Protocol, sub-account of funds earmarked for the work of non-governmental and humanitarian organisations _________________________ _________________________________________________________________________, in__________________________________, date_________________________________ Signature ________________________________ Amounts on which taxes and other public levies are paid shall be calculated “gross” National Preventive Mechanism in the Republic of Slovenia under the Optional Protocol to the UN Convention against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment 135